Wiki Post op hemorrhage after lumpectomy

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GIBBERS

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Can anyone direct me to the code for 'back to the or' for hemorrhage/hematoma after having a breast lumpectomy?
The only code i can come up with is cpt 13160 (secondary closure of surgical wound)
the surgeon cauterized the bleeding artery and closed incision in two layers after placing drain.
 
I came across this problem only it was for an anal fistula that a surgeon other than one I work for corrected. The patient presented to the ER with a hemorrhage and my doc had to control the bleeding but he didn't do it endoscopically. There are no codes for it. I hope someone at the AMA will come up with some "control of bleeding" or hemorrhage codes that go with all procedures that are performed. I wound up billing an ER E/M visit based on time. If I were you, I may even use the unlisted procedure code for breast and send the op note. :confused:
 
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