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Posted By Danielle Levy on 05-15-2018, 09:48:15 in Ob-Gyn
Our physician di a vaginal delivery on 02/23/2018 along with a 4th degree laceration repair . We billed 59410 & 12041. On March 5 pt was brought back to the operating room for a revision of 4th degree laceration due to defect in rectal mucosa. Aside from adding a 78 modifier what would be the correct CPT code ? Ive attached both operative reports
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Posted By Melanie Witt on 05-19-2018, 19:47:13
Your physician did not do the delivery, the hospitalist did per this documentation. Therefore you would not be billing for the delivery so could bill for the episiotomy (59300) with a modifier -22 for this repair. There are no integumentary codes for this type of repair either and all of the rectal/anal repair codes are for prolapse, not laceration so it would have to coded as unlisted otherwise with a comparison code supplied to the payer for some type of intermediate repair.
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