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Cervical Laceration Repair by surgical assistant postoperatively

Loni Posted Tue 06th of August, 2019 14:44:29 PM
Dr. A assisted the attending physician Dr. B on a c-section. Dr. A was on call and got called back out for this same patient later. Dr. A had to take her back to the OR to do a repair for a cervical laceration. How can we code for this? Would 57720 apply since Dr. A only assisted with the c-section? Would a modifier be needed?
SuperCoder Answered Wed 07th of August, 2019 07:03:42 AM
Hi Loni,
 
 
Thanks for your question.

 

Despite a cesarean delivery, the provider inspects the cervix and vagina for lacerations, repairs the episiotomy incision, and repairs any vaginal or cervical lacerations as well. So, you should not report code 57720 separately for repair of cervical laceration. Moreover, assistant surgeon may bill the same procedure code (e.g. 59514) with modifier 80.

 

Please feel free to write if you have any question.

 
Thanks
Loni Posted Wed 07th of August, 2019 08:49:36 AM
This laceration happened after the procedure - postoperatively. The assistant surgeon was on call and had to return the other physician's patient to the OR later to repair the laceration, not during the c-section.
Loni Posted Wed 07th of August, 2019 08:52:23 AM
My question was can the on-call physician use 57720 and would a -78 modifier be needed since he was the assistant surgeon on the c-section...
SuperCoder Answered Thu 08th of August, 2019 06:31:01 AM

If the laceration happened after the procedure i.e. postoperatively and the repair was done after the C-section and not during the initial procedure of C-section, then you may report code for this procedure separately.

 

If the physician performs a delivery, and takes the patient back to the operating room to repair the uterine cervix, append modifier 78 to the uterine cervix repair code 57720.

 

For more info- if the cervix repair would have done at the time of the delivery and before the patient went to the recovery room, you would add modifier 51.

 

Hope this helps.

 

Thanks

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