As always, I would need to actually see the note to tell for certain .... however, here is some food for thought.
If the patient is covered by Medicare, I don't think you'll be able to bill the visit. Complications are not covered by Medicare, except for procedures requiring a return to the OR.
If the patient is NOT covered by Medicare .... many commercial payers would accept a -24 modifier for a serious complication, as it is not routine postoperative care. If the amputation is going to take place within the next day or two I would also add a -57 modifier for the decision for surgery.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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