RABBIT2020
Networker
Is this considered separately billable on the day of the procedure?
If it is billed and reimbursed is it still correctly coded?
On 16th the patient presents with missed abortion. Plan of treatment was discussed and outline. Patient opted for office procedure of Manual vacuum aspiration.
On the 17th patient presents for procedure.
Note for Pre-procedure is this:
Reason for Appointment: Pre-procedure
HPI: in for consent preoperative medications in anticipation of office MVA for missed AB
Assessment: SAB o02.1
Treatment: List of all the pills to be taken were outline on the note.
Clinical notes: 30y/o G1 PO @ 7 week sized MAB for office MVA; entire procedure reviewed and patient associated risks of bleeding and infection identified; consent signed and witnessed; medicated with xxx, xxx, xxx and xxx to proceed with MVA as arranged in 1-2 hours.
Time spent on the patient encounter today 30 mins. 99214-25
There is another note for the procedure. 59820
MY question is the above billable given the sequence of events and given it is part of the procedure and given it was not a separately above and beyond what the patient was scheduled for on the day of the procedure?
If it is billed and reimbursed is it still correctly coded?
On 16th the patient presents with missed abortion. Plan of treatment was discussed and outline. Patient opted for office procedure of Manual vacuum aspiration.
On the 17th patient presents for procedure.
Note for Pre-procedure is this:
Reason for Appointment: Pre-procedure
HPI: in for consent preoperative medications in anticipation of office MVA for missed AB
Assessment: SAB o02.1
Treatment: List of all the pills to be taken were outline on the note.
Clinical notes: 30y/o G1 PO @ 7 week sized MAB for office MVA; entire procedure reviewed and patient associated risks of bleeding and infection identified; consent signed and witnessed; medicated with xxx, xxx, xxx and xxx to proceed with MVA as arranged in 1-2 hours.
Time spent on the patient encounter today 30 mins. 99214-25
There is another note for the procedure. 59820
MY question is the above billable given the sequence of events and given it is part of the procedure and given it was not a separately above and beyond what the patient was scheduled for on the day of the procedure?