The surgeon performed a tonsillectomy and adenoidectomy on a 25-year-old male. Four hours after leaving the surgery center, the patient presents to the clinic with a one-hour history of bleeding in the throat. The bleeding site was located; however, it was in a location that could not be treated outside the OR. The patient was taken back to the OR, by the same surgeon, for control of

postoperative bleeding. Code both procedures.

What are the Coding/Modifiers?

Index: Tonsillectomy and Hemorrhage, Control, Throat

Code(s):
42821: Tonsillectomy and adenoidectomy, age 12 years or older
42962-78 Control oropharyngeal hemorrhage with secondary surgical intervention (modifier for return to OR for a related procedure during the postoperative period)