Wiki Consult for Surg Clearance

[fredcpc]

How would you code this?

A patient, no history of heart issues, was referred to our cardiologist for a surg clearance at the request of the surgeon. Exp History, Exam and MDM was SF. A routine EKG was performed and interpreted. Results were sent back the surgeon.

I think this is consult, probably a 99241. EKG 93000, but what are my dx codes for both CPTs?

 

[jewlz0879]

Without the actual E&M from the physician it is hard to say but I will say if the patient is Medicare you can't use 99241. Based on what you asked the only dx I see is V72.81-pre-operative cardiovascular examination. If the exam renders a reportable condition, that should be listed as an additional diagnosis. Screening codes should be first listed when the reason for the visit is specifically the screening exam.

HTH

 

[fredcpc]

Thank you, Julie. I think your advice is solid and according guidelines. I wanted a second opinion. Not a Medicare patient.

 

[willishm2012]

V7284 would be used for the Consult and V7281 would be used for the EKG.