Rjessie88@yahoo.com
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my boss does alot of surgery's and he always bills the pre-op visit with an E/M code, should this visit be coded as part of the surgery?
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Wiki Pre-op visits
- Thread starter Rjessie88@yahoo.com
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btadlock1
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Pre-op evaluation is part of the global surgical package. He shouldn't submit a claim for reimbursement in the situation you're describing. Hope that helps!
FTessaBartels
Guest
Global ... EXCEPT
The visit is global to the surgery EXCEPT in cases where it is the decision for surgery (modifier -57).
So the patient who presents for a hernia repair that was scheduled, should not also be billed for the required H&P evaluation prior to the surgery.
While the patient who presents in the ER with RLQ pain, nausea and an ultrasound consistent with acute appendicits, will likely require a billable E/M service that is the decision for surgery.
Hope that helps.
F Tessa Bartels, CPC, CEMC
The visit is global to the surgery EXCEPT in cases where it is the decision for surgery (modifier -57).
So the patient who presents for a hernia repair that was scheduled, should not also be billed for the required H&P evaluation prior to the surgery.
While the patient who presents in the ER with RLQ pain, nausea and an ultrasound consistent with acute appendicits, will likely require a billable E/M service that is the decision for surgery.
Hope that helps.
F Tessa Bartels, CPC, CEMC