May 11, 2023
My coder says I cannot bill for taking the patient back to the OR to repair a post-op hemorrhage during the global period. She says that all complications are included in the payment for the initial surgery. Is that correct?
No, that is not the case. You may bill for the post-op hemorrhage repair if you take the patient back to the OR. CPT and Medicare agree that taking the patient back to the OR to treat a complication is billable. Modifier 78 (unplanned return to the OR) is appended to the procedure code(s) performed to treat the hemorrhage. The appropriate ICD-10-CM code for a postoperative hemorrhage would also be reported.
*This response is based on the best information available as of 05/11/23.