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Wiki Consult for Surg Clearance

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fredcpc

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How would you code this?

A patient, no history of heart issues, was referred to our cardiologist for a surg clearance at the request of the surgeon. Exp History, Exam and MDM was SF. A routine EKG was performed and interpreted. Results were sent back the surgeon.

I think this is consult, probably a 99241. EKG 93000, but what are my dx codes for both CPTs? :confused:
 
Without the actual E&M from the physician it is hard to say but I will say if the patient is Medicare you can't use 99241. Based on what you asked the only dx I see is V72.81-pre-operative cardiovascular examination. If the exam renders a reportable condition, that should be listed as an additional diagnosis. Screening codes should be first listed when the reason for the visit is specifically the screening exam.

HTH
 
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