Oncology & Hematology Coding Alert
Procedure Codes Include Preparation
Question: In a patient planned for a biopsy, our physician did an evaluation for about 20 minutes to determine fitness for the procedure. During the preparations for biopsy, the patient had questions for which he received counseling from the nurse practitioner. The nurse spent about 15 minutes in this discussion. Following this, the patient consented to and underwent the biopsy procedure. How can we report the evaluation services of the physician and the counseling provided by the nurse?
New Mexico Subscriber
Answer: For every procedure performed, it is expected the provider would evaluate the patient to determine the patient’s fitness for the procedure as part of the pre-procedural work up. The description of the nursing time also is part of the procedural service as well as obtaining consent. Additionally this was stated to be as a planned procedure, therefore you would only bill for the performed procedure.
Oncology & Hematology Coding Alert
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Procedure Codes Include Preparation
Question: In a patient planned for a biopsy, our physician did an evaluation for about 20 [...]
