Thouvenel
Guru
I'm wondering if anyone has any documented information on accidental puncture repairs while another procedure is being performed. The scenario is my surgeon was performing laparoscopic hernia repair and when putting the trocar in pierced the bowel. He wants to bill for an enterotomy since he had to convert to open procedure, perform significant lysis of adhesions, perform the enterotomy and repair the hernia. I'm at a loss as to if we can actually bill that enterotomy????