Wiki Vasectomy surgical post-op period

[SienTC1720]

I code for a general surgeon who often does in-office vasectomies. We recently had a patient come back in who still has a VERY high sperm count, and may have to have the procedure re-done. This appointment being 4 months after the original surgery.

My question is, is this now an E/M visit, or would it still be a post-op, and could we charge something for it?

 

[Lainie0559]

As long as he had a postop visit during the 90-day postop period, then I would go ahead and bill for the visit along with the failed vasectomy dx code (N99.89). If this is his first visit with the physician after the procedure, then I would include it as postop.