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Help with modifier

E. maria Posted Mon 18th of May, 2015 01:30:50 AM

Patient underwent laparoscopic bilateral inguinal herniorrhaphy with mesh at which time he was also found to have an incarcerated right femoral hernia. Part of the incarcerated fat was able to be reduced and part of it was unable to be completely reduced. Postoperatively, the patient had a residual firm mass in the right femoral area that was causing him pain. The patient was taken back to surgery several weeks later for excision of the femoral fatty mass. My Doctor said is not a complication but is related to the surgery. What is the appropriate modifier, do I still use modifier 78? Also need help with the diagnosis code, CPT 27337? mass was 6 X 4 cm.

SuperCoder Answered Mon 18th of May, 2015 05:06:24 AM

Well, yes, you are on the right track, but it is necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). When this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. CPT and ICD-9 for subcutaneous fatty mass 27337 and 782.2 respectively seems appropriate.

E. maria Posted Tue 19th of May, 2015 01:08:22 AM

Thank you!

SuperCoder Answered Tue 19th of May, 2015 02:21:36 AM

Happy to help!

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