AAPC - Back to school
Results 1 to 3 of 3

Thread: RF Palatoplasty w/emergency tonsillectomy

  1. #1

    Default RF Palatoplasty w/emergency tonsillectomy

    AAPC: Back to School
    Doctor did a radiofrequency palatoplasty which resulted in profuse bleeding from the puncture site. An emergency tonsillectomy had to be done to control the bleeding. How would this be coded?

  2. #2


    Hi Coder Guy~ I just ran into this myself when our patient's stomach was accidentally torn due to take down of adhesions. You can only bill for the procedure you did not the procedure you had to do to correct the "surgical misadventure". To bill this would be charging the patient for a mistake the surgeon unintentionally made but had to be repaired.

    Here is what CCI states:

    "CCI Manual Chapter 01
    10. A number of CPT codes describe services necessary to address the treatment of complications of the primary procedure (e.g. bleeding or hemorrhage). When the services described by CPT codes as complications of a primary procedure require a return to the operating room, they may be reported separately; generally, due to global surgery policy, they should be reported with the -78 modifier indicating that the service necessary to treat the complication required a return to the operating room during the postoperative period. When a complication described by codes defining complications arises during an operative session, however, a separate service for treating the complication is not to be reported. An operative session ends upon release from the operating or procedure suite (as defined in MCM '4821)."

    Hope that helps!

  3. #3


    Thanks for the information. That helps.

Similar Threads

  1. Coding for palatoplasty
    By karen1123 in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 07-21-2014, 01:29 PM
  2. Palatoplasty
    By terry4162 in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 10-22-2010, 10:44 AM
  3. Tonsillectomy
    By Scatlot in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 09-21-2010, 11:58 AM
  4. S/P Tonsillectomy
    By ConnieJo in forum Pediatrics
    Replies: 0
    Last Post: 12-06-2007, 02:51 PM
  5. Tonsillectomy
    By Donna SanGiovanni in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 07-17-2007, 07:25 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.