I need some clarification on how to properly code pre-op exams! One of my providers does pre-op dental exams for Medicaid patients. He has been coding these as wellness exams. He claims he is doing full physical which supports his coding choice. Now, Medicaid only covers one wellness/year. We have patients that have came in for their annual wellness, then months later it is discovered that they need dental surgery. Since Medicaid won't pay for a second WCC, how should this be coded? I have found mixed answers. I have found that most people say to use a E/M sick visit code (99201-99215), with the V72.83 as a primary dx. But, technically this wouldn't be a sick visit.
Can anybody give some insight on how to correctly bill for a pre-op exam?? Thanks!!!
Can anybody give some insight on how to correctly bill for a pre-op exam?? Thanks!!!