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Repair Iatrogenic serosal tear

Kathy Posted Mon 22nd of December, 2014 20:07:00 PM

Case: Surgeon#1 requests Surgeon#2 to assist with colpopexy. During colpopexy, 5 iatrogenic serosal tears occur, from unbillable, multiple lyses of adhesions performed by BOTH Surgeon#1 & Surgeon#2, due to extensive past surgical history; Surgeon#2 is primary for repair of 5 serosal tears. Surgeon#2 is also primary surgeon for open, incarcerated ventral hernia w/ mesh. And, Surgeon#2 is 1st assist for colpopexy.

CODING FOR SURGEON#2: 1) 44604-59/998.2 & 560.81; 2) 49561-59/552.21; 3) 49568-59/552.21; 4) 57280-80/618.00 & 618.6.

Is it appropriate, in this case for Surgeon#2 to bill the codes above? Thank you.

SuperCoder Answered Wed 24th of December, 2014 06:48:43 AM

We are researching on it and will get back to you ASAP. Thanks !!

SuperCoder Answered Wed 24th of December, 2014 06:49:39 AM

We are researching on it and will get back to you ASAP. Thanks !!

SuperCoder Answered Wed 24th of December, 2014 06:49:39 AM
researching.
SuperCoder Answered Tue 30th of December, 2014 09:17:25 AM

Yes, you may bill as above, however, medical records should clearly specify that Surgeon-2 has performed procedures other than colpopexy independently as a primary surgeon. Also, reimbursement would depend on the fact that these procedures are distinct and separately payable from colpopexy or not, which will be decided by the payer.

Thanks !!

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