Billing for an iatrogenic injury, not my patient. (Stage 1)

Billing for an iatrogenic injury, not my patient. (Stage 1)

June 20, 2019

Question:
My surgeon was called to the OR by an OB-GYN who accidently lacerated the the small bowel during an open gynecological procedure.  She repaired the small bowel with sutures. How is this billed, is my surgeon a co or assistant surgeon?

Answer:
Neither. Repairing the bowel is not inherent to a gynecological procedure so your surgeon would not be a co or assistant surgeon. Instead she will bill for the work she performed, code 44602, Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation.

*This response is based on the best information available as of 06/20/19.

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