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Wiki Billing for Pre-op evaluation

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rhbaird

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My surgeon wants to bill for pre-op evaluation if the patient is seen several days before the surgery. He has already seen the patient in consultation and made the decsion for surgery. Please tell me where I can find documentation stating this can't be done unless he is managing an illness or test results.
 
CMS spells this out in commentary related to CPT Surgery Global package. I'd check there. I'm also pretty sure your other Fed. payers (Medicaid & Tricare) have similar clauses on their policies.

I would imagine that if you can validate the three of those, your surgeon may reconsider.

Good luck.
 
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