For an accurate response to a surgical coding question, please post the scrubbed operative note.
It's hard to say for certain because I haven't seen the operative note.
However, in general, I would consider this akin to the situation a general surgeon encounters when performing a laparoscopic procedure and finding an umbilical hernia at the port site. He doesn't USUALLY repair a hernia when he's doing a lap appy (for example), so this requires a little more work, but since it's the same incision used to the primary procedure, the umbilical hernia repair is considered incidental and is not coded.
I would consider the repair he performed as incidental to the orbital fracture repair. It may have requried a bit more work than he usually performs, but I don't consider it a separately codeable procedure.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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