Kiracodes
Networker
This is actually a question on a personal bill I received so I don't have access to the documentation yet. Here's the just of it.
Commercial CMO payer
Outpatient Surgery was scheduled 3 months in advance.
Hospital contacted us a month prior to scheduled surgery to set up an appt for a Routine Pre-surgical Assessment at their Assessment Evaluation Dept. This was done 2 weeks prior to surgery. During the visit a nurse took an extensive history, drew pre-op labs, gave hibecleanse. During hx it was mentioned there was a DVT after another surgery done 2 yrs prior with no further hematology follow-up since. Labs were cleared. NP came in, explained what medication can/can't be taken prior to surgery. Small exam of area that will be operated on but again I can't see documentation yet. Sent home.
Surgery that was done 2 years prior was done exactly identical but did not have an E/M billed.
This time a consult code was billed? Is this appropriate? Should a code even be billed?
Commercial CMO payer
Outpatient Surgery was scheduled 3 months in advance.
Hospital contacted us a month prior to scheduled surgery to set up an appt for a Routine Pre-surgical Assessment at their Assessment Evaluation Dept. This was done 2 weeks prior to surgery. During the visit a nurse took an extensive history, drew pre-op labs, gave hibecleanse. During hx it was mentioned there was a DVT after another surgery done 2 yrs prior with no further hematology follow-up since. Labs were cleared. NP came in, explained what medication can/can't be taken prior to surgery. Small exam of area that will be operated on but again I can't see documentation yet. Sent home.
Surgery that was done 2 years prior was done exactly identical but did not have an E/M billed.
This time a consult code was billed? Is this appropriate? Should a code even be billed?