tci General Surgery Coding Alert - 2014 Issue 12

You Be the Coder: Separate Session Warrants Separate Code

Question: Our surgeon biopsied a suspicious bleeding lesion during an anoscopy procedure. Later the same day, the patient had to return to the operating room due to excessive bleeding, which the surgeon controlled using a plasma coagulator. Is the bleeding control included in the initial service since the return to surgery was on the same day?  Washington Subscriber Answer: No, you should not include the return to surgery for bleeding control under a single code for the initial anoscopy with biopsy.  Although it is true that you should not separately bill for bleeding control that is part...

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