If my physician schedules a lap cholecystectomy and gets in there to perform the surgery and finds a hernia- doesn't this follow the same guidelines that the hernia doesn't get billed bc it needed to be completed in order to do the scheduled surgery?
He starts the cholecystectomy, takes down some adhesions, finds the ventral hernia, removes the gallblader and the ports and converts to an open ventral incisional hernia repair- and the only OP Note for that is "ports were withdrawn. Pneumoperitoneum was evacuated. The fascial defect at teh upper aspect of the old incisional scar was then repaired with interrupted 0 Nurolon sutures.' Does that count?
He starts the cholecystectomy, takes down some adhesions, finds the ventral hernia, removes the gallblader and the ports and converts to an open ventral incisional hernia repair- and the only OP Note for that is "ports were withdrawn. Pneumoperitoneum was evacuated. The fascial defect at teh upper aspect of the old incisional scar was then repaired with interrupted 0 Nurolon sutures.' Does that count?