Wiki Office visits to discuss surgey

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maryawinfield04

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I have a patient that was seen in our office to discuss surgery. I'm billing according to the level of service (i.e. 99212-99213)but I'm being told that I'm suppose to bill a post-op (99024) since it was a discussion.

any advice would help.
 
99024 has a zero charge - and is part of the "surgical package", post procedure (the CPT description does not indicate any use for what you describe). I would refer to the CPT Surgery Guidelines. Granted, I am a surgery coder, no e/m, but I do review our e/m charges and when a patient comes in and discusses surgery there is normally an evaluation involved, either a new or established patient visit and if the surgery is the next day there will be a -25 or -57 modifier applied to that visit. Hope this helps...
 
If it was strictly a discussion of the surgery, you would bill 99214-P and there is no charge for that. If there were issues evaluated and addressed besides surgery you could bill the appropriate E/M level then add modifier 57.

Peace
@_*
 
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