Forum - Questions & Answers

Nov 12th, 2010 - ASTOUGH 15 

Return to or

How should I code this??? A patient had a LEEP cone by Dr. A and a week later presented to the office for bleeding post op. Dr. B saw her and had to return her to the OR to suture and cauterize the cervix. Is this return to the OR billable and if so, how do I code it?

Nov 12th, 2010 - nmaguire   2,606 

complication

yes, it is billable. There are no global days to code 57461 (if this is what was done initially). Code the return to O.R. for the procedure documented (ex, 57510-57513) but is based on documentation. No modifier because code 57461 has 0 global days. Your diagnosis code will be a "Complication" code.



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