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Posted By Cathy on 08-16-2019, 11:37:08 in Ob-Gyn
I know that we cannot bill to repair a perforation the doctor made at the time of surgery. I want to verify the only thing I should bill for this patient is the original intended D&C ...they hystercope and laparoscopy all occurred after doctor noted the suction currette went further than expected. Report came back as complete hydatidiform mole..59870
I have attached the operative report with all PHI marked out. Thank you!
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Posted By Melanie Witt on 08-20-2019, 19:01:16
Well many payers will not pay for iatrogenic injuries (and Medicare absolutely won't) but for the ones that so I think in this case it is worth billing and see what happens. Your Dx on the laparotomy code for the repair (59350 since this is an OB case) would be an injury complication code. You can't bill the laparoscopy since it was converted to open but that would mean that 59350 could qualify for a modifier -22. 59870 would be the correct code for the path result and in this case I would not add a diagnostic hysteroscopy as it was directly related to the bleeding (a look see as it were). No perfect answer on this one so do the best you can.
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