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Thread: Instrumentation Removal

  1. #1

    Default Instrumentation Removal

    AAPC: Back to School
    have a physician that performed a corpectomy, and a fusion. However, (DURING THE SAME SURGERY) he took the patient down CT scanner, and it did not appear that the screws were medial. He brought the patient back to the OR and all the screws were removed....my question is can he bill for his work performed? Is there a modifer that should be used?

    Please help...we are really confused on how to handle this one.


  2. #2
    Join Date
    Apr 2007
    Seattle First Hill


    I don't think he can bill for it. It would be the same thing if during surgery, the doctor accidentally caused a dural leak- the repair is not billable.

    Kirsten, CPC

  3. #3
    Join Date
    Apr 2007
    North Carolina


    I tend to agree with Kirsten but have you thought about adding a modifier 22? (with proper documentation).

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