awilde
New
My physician is asking if we can bill preop visits as consultations. We are a primary care provider and from what I understand, I thought consult codes were exclusive to specialists. Please advise.
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Wiki Office Consultations as Preop exams
- Thread starter awilde
- Start date
I know this is a really late reply, but I was looking into something about Pre-op's and saw this, so I thought I'd share.
This was found here: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R1707B3.pdf
Non-global Preoperative Examinations.-- E/M services performed that are not included in
the global surgical package for the purpose of evaluating a patient’s risk of perioperative
complications and to optimize perioperative care. Preoperative examinations may be billed by using
an appropriate CPT code (e.g., new patient, established patient, or consultation). Such non-global
preoperative examinations are payable if they are medically necessary and meet the documentation
and other requirements for the service billed.
the global surgical package for the purpose of evaluating a patient’s risk of perioperative
complications and to optimize perioperative care. Preoperative examinations may be billed by using
an appropriate CPT code (e.g., new patient, established patient, or consultation). Such non-global
preoperative examinations are payable if they are medically necessary and meet the documentation
and other requirements for the service billed.
This was found here: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R1707B3.pdf