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    Difficult Case - Ophthalmology ASC MAC Anesthesia

    Can anyone help with how to code this scenario... Patient presents to pre-op (ASC) and MAC anesthesia is started. Patient is taken to a laser suite to have Femtosecond Laser prior to their cataract surgery. The patient becomes non-compliant and the laser (not billable to insurance) is aborted...
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    Documentation Requirements for in-office procedures

    Hello, Trying to find out if an op note/procedure note is REQUIRED for any/all procedures performed in office? I need to know if it is written somewhere in black and white that a procedure note with details including pre-op prep and post-op/discharge instructions is needed even when performed...