Wiki Decision for surgery "57" question.....

[sammartin92472]

I have a patient who had a major procedure and two days later developed a complication that required a return to the OR for another major procedure. My question is if the E&M performed the day the decision to return to the OR can be billed with a 57 and separately reimbursed or if it is considered part of the global of the 1st procedure and not reimbursable.

 

[CodingKing]

Only the surgical treatment in the OR for the complication can be billed. E&Ms is bundled. Think of it this way, the E&M is not done in the OR so its part of the global period of the prior surgery.