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Surgical complications, such as abscesses, lymphoceles, seromas

Kathy Posted Wed 25th of November, 2015 20:56:27 PM

A patient has a procedure, and during the global period the patient develops an abscess, lymphocele, seroma, at the site of the procedure. The patient is then seen in clinic (NOT taken back to OR) & the provider drains the abscess, lymphocele, seroma or whatever. Is it appropriate to bill for these services?

Please site Coding Compliance Guidelines and resources. Thank you.

SuperCoder Answered Thu 26th of November, 2015 03:23:59 AM

Thanks for your question.

No, we cannot bill it separately because it comes under surgical package.

As per CMS guidelines: All additional postoperative medical or surgical services provided by the surgeon related to complications but not requiring additional trips to the operating room

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