February 28, 2019
Can I bill for taking the patient back to the OR to explore and repair post-op hemorrhage on day 3 post-op? I heard that all complications are included in the payment of the original surgery.
Yes, you may bill for this. 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 2/28/19.