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Surgery start time debate

  1. Default Surgery start time debate
    Medical Coding Books
    Good Morning:

    I am having a Surgery Start time debate with some of my associates.
    I am billing for the professional fee with this question.

    I have a patient that was registered into the Emergency Dept on 08/26/2011 @23:30.

    The patient went to the operating room directly from the Emergency Dept 08/26/2011@23:55.

    The physician dictated his operative report with the date of service as 08/27/2011; as the case ended on 08/27/2011 @ 04:00.

    I am saying that the date of service is 08/26/2011 since the case did start at 23:55.

    The others are saying we have to go with 08/27/2011 since that is the date that is documented on the operative report.

    I think we should be able to go back to the physician and ask him to either amend the operative report, and or state the case indeed started on 08/27/2011.

    Thank you so much for any feed back I can receive on this.


  2. #2
    Milwaukee WI
    Default Look at the anesthesia record
    Our anesthesia record shows
    Anesthesia Start
    End Induction
    Surgery start
    Surgery end
    Anesthesia End

    I would go by the "surgery start" time listed on the anesthesia record. If the patient GOT to the OR at 23.55, I would guess that surgery didn't begin until after midnight.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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