tci General Surgery Coding Alert - 2008 Issue 10

You Be the Coder: Can Control of Bleeding Be Separate?

Question: When, if ever, may I report control of bleeding as a separate service at the same time as a related surgical procedure? Florida Subscriber Answer: Control of bleeding is never separately reportable during a surgical service if the bleeding occurs as a result of the surgery itself. Stated differently, if the surgeon causes the bleeding, you must include management of the bleeding in the procedure fee. For example, if a surgeon must inject epinephrine to control bleeding that starts during a polyp removal by snare technique, the control of bleeding is included in the code for the tumor...

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