AR2728
Expert
Our OBGYN practice also employs an MD who has a fellowship in OB, so she can perform C-sections. She recently performed a c-sect and called in the OBGYN due to uterine dehiscence after the baby was delivered. Following is the portion of the note that involved the OBGYN:
At this time Dr. OBGYN was consulted for intraoperative consult to assist with repair of this.The margins of the wound dehiscence were identified and lower uterine segment and wound dehiscence was repaired using 0 vicryl in a running lock fashion and then oversewed again with the same stitch until good repair of the muscle layer of the lower uterine segment was seen. There was a small bleeding vessel which were oversewed with figure of eight Caperson on the primary uterine incision repair and along the wound dehiscence repair. There was still some bleeding noted and pressure was applied while the posterior aspect of the uterine layer and abdomen was irrigated and clots removed. The uterus was then returned to the abdomen. There was still some bleeding noted and Gelfoam was put in place and pressure applied until hemostasis was noted. At this point Dr. OBGYN scrubbed out of the case.
The OBGYN states this is Intraoperative Consult-However, Wouldn't this be billable as a c-section assist? Does the OBGYn need to be present for the complete cesarean to bill an assist?
Thanks for your time!
April Rader
At this time Dr. OBGYN was consulted for intraoperative consult to assist with repair of this.The margins of the wound dehiscence were identified and lower uterine segment and wound dehiscence was repaired using 0 vicryl in a running lock fashion and then oversewed again with the same stitch until good repair of the muscle layer of the lower uterine segment was seen. There was a small bleeding vessel which were oversewed with figure of eight Caperson on the primary uterine incision repair and along the wound dehiscence repair. There was still some bleeding noted and pressure was applied while the posterior aspect of the uterine layer and abdomen was irrigated and clots removed. The uterus was then returned to the abdomen. There was still some bleeding noted and Gelfoam was put in place and pressure applied until hemostasis was noted. At this point Dr. OBGYN scrubbed out of the case.
The OBGYN states this is Intraoperative Consult-However, Wouldn't this be billable as a c-section assist? Does the OBGYn need to be present for the complete cesarean to bill an assist?
Thanks for your time!
April Rader