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General Surgery William Via General Surgery William Via

Post-Op Visit Discussions

The surgeon performs a mastectomy. The patient returns for a post-op E&M within the global period, and the surgeon discusses the need for chemotherapy treatment with the patient. The surgeon will not be managing the chemotherapy. Can the surgeon submit an E&M with modifier 24?



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General Surgery William Via General Surgery William Via

Incarcerated Appendix Removed During Inguinal Hernia Repair

I have a pt who came for repair of incarcerated inguinal hernia. The approach was laparoscopic. Aright inguinal hernia was identified. It was found to be containing incarcerated appendix. Attempts to reduce the appendix were unsuccessful with shearing of the serosa. Using scissors with cautery the peritoneum was opened from the right anterior superior iliac spine to the median umbilical ligament. The contents were dissected off the inferior flap laterally and down to the pubic tubercle medially. The round ligament was dissected off the hernia sac and the hernia sac was reduced into the abdominal cavity. The appendix was densely scarred in and dissection around the appendix was done until the hernia sac was completely cleared but the appendix did break apart. So would I code the incarcerated inguinal hernia only or how would I capture the appendectomy?



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