Results 1 to 3 of 3

Hemorrhage Control during C-section

  1. #1
    Post Hemorrhage Control during C-section
    Medical Coding Books
    My doctors sometimes are asked to standby and then help control hemorrhaging during C-Sections when there is a problem with the placenta growing into the uterus. There is usually a Urologist, Obstetrician, Maternal Fetal Surgeon and Vascular Surgeon working on the patient. It is usually a life and death situation. My Dr. is the Vascular Surgeon, and we are having trouble finding a CPT code for hemorrhage control. He asked if they could bill as a Team. My question is two-fold:
    1) Has anyone ever coded for hemorrhage control during a C-Section
    2) When billing as a Team, does each surgeon bill the same procedure codes and use the Modifier 66?

    I've never billed a Team surgery before and need some guidance here. Any help would be appreciated.

    Thanks in advance!

  2. #2
    Duluth, Minnesota
    to answer question number 2:
    Surgical Team (Modifier -66) refers to more than two surgeons with different skills and specialties, working together to carry out various portions of a complicated surgical procedure during the same operative session on the same date of service for the same member. Each surgical team member should submit the same procedure code with modifier -66 indicating that a team of surgeons was required for the procedure. (follow the Medicare Physician Fee Schedule Database Surgical Team indicators for reimbursement
    consideration of team surgery) When requesting reimbursement for a team of surgeons. Each surgical team member must provide their full name, provider and tax ID numbers, percentage of allowance, operative report, and signature
    If the procedure has a Team Indicator of "0" = Team surgery is not permitted for that code.
    If it's indicator "1" - bill the procedure with .66, send op notes, send documentation of medical necessity for team
    If it's indicator "2" - bill procedure with modifier 66 and send op notes.
    {that's my opinion on question #2}

    here's a modifier 66 decision tree link -
    (never coded a c section hemorrhage control so can't comment on question #1)
    Last edited by dmaec; 08-29-2008 at 07:31 AM.
    Donna, CPC, CPC-H

  3. #3
    Thanks for the information on the Team coding. I appreciate the information.

Similar Threads

  1. Hemorrhage control
    By soprano in forum Emergency Department
    Replies: 0
    Last Post: 05-02-2013, 01:58 PM
  2. Control nasal hemorrhage
    By SLELISON in forum ENT/Otolaryngology
    Replies: 3
    Last Post: 08-30-2012, 02:24 PM
  3. control of hemorrhage
    By surgonc87 in forum Gastroenterology
    Replies: 0
    Last Post: 03-14-2011, 11:29 AM
  4. Hemorrhage control
    By mdbeckwith in forum General Surgery
    Replies: 1
    Last Post: 04-13-2010, 04:48 AM
  5. Hemorrhage Control during C-Section
    By dzanoni in forum OB/GYN
    Replies: 0
    Last Post: 08-29-2008, 07:58 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.