Wiki Return to surgery same day

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ERINM

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A patient is in the office today and has an excision requiring an advancement flap. Several hours later the patient returns to the office due to a hematoma forming at the surgical site. We anestatized the incision, open the advancement flap, hemostasis is met with sutures placed in 3 different areas. The advancement flap was then performed again. Am i able to charge for the return to clinic since it was the same day. If yes, what code would I be using? The same as the original, 14040?
 
I would code the same as original, just with a modifier -78, or since it is the same flap I might use a -52, just depends on the documentation.
 
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