Gyn surgeon performs 57520 -- patient sent home and returns to the OR 8 hours later with postop hemorrhage. Surgeon clipped existing sutures and removed Gelfoam packing. RE-sutured and RE-packed site and patient kept overnight for observation.

How would you bill the return to the OR post op hemorrhage control procedure? It's technically not a 57520 "revision". Would you bill the 57520 a 2nd time with modifier 52 and 78?

I have checked the internet and the AAPC site thoroughly and can not find any guidance. PLEASE HELP !!!