Wiki Pre-op visit

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mstallings

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Springfield, Missouri
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I would like to know what other office's are doing out there regarding billing pre-op visits.

Currently- our ortho dept. sees a patient in the office -decision for surgery is made...however the surgery may not happen for 30 days- the hospital requires a current H&P...so surgeon may bring patient back in to update. He is not billing however using a 99025/NC which is a code from 2007. This code was just recently taken off the tickets- because of not being a valid CPT any longer....so the doctor wonders what he should do.

He has been told he cannot bill an E&M if he is just bringing patient back in to update the H&P. All components are the same, nothing has changed.

How are you capturing this encounter? Doesn't matter if it is ortho, general surgery etc. Thanks!!!
 
Our office bills it as part of the global using 99024 to "capture" it. The surgical package for the global period includes a % of $ that is dedicated to cover preop costs. Example is a shoulder arthroscopy surgery. Per EndcoderPro the breakdown of payment is as follows:
Global Information

Global-Split

Preoperative %: 10
Intraoperative %: 69
Postoperative %: 21

Global Period (days): 090
So the Preop is part of the global package. That is our understanding anyways:)
 
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