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I would say if the patient was brought back to the OR to do this then absolutely you can bill for it. If it was bedside, it will depend on the payer. You cannot bill for bedside procedures in the global period if the patient has Medicare. If the patient has commercial insurance, then I'm a little up in the air as to whether you should bill for it.

I sort of want to say yes.

Lisi, CPC
eharkler@nmh.org
 
additional question

If this was a Left Heart cath, pt was in cardiogenic shock from cardiac arrest
Pt has Medicare, could you bill removal. Doesnt Heart Cath have 0 global?

Thanks,
Janice H. Carr, CPC
 
Be sure to use a Dx code that is different than what was used when billing for the primary surgery, as well as the appropriate modifier.
 
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