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Pre op billing

Messages
238
Location
Selden
Best answers
0
It's been awhile since I billed for primary care, but historically used consult codes since the visit was requested by another physician, and you are sending a report back. Of course, many insurances now no longer accept consult codes, and for those you would definitely need to use new or established office visit.
 

thomas7331

True Blue
Messages
2,040
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0
What diagnosis should you use for a pre op if you bill an office visit cpt?
Use a code from the Z01.81- category as your primary diagnosis, followed by the diagnosis or condition for which the procedure is going to be performed.
 

jhendrix08

Guru
Messages
148
Best answers
0
Agreed with Thomas on the Dx code; I bill for a PCP/Internal Medicine Practice and we do pre-op visits all the time. We do not bill a consult code; we bill an office visit E/M as well as an EKG (which is requested from the surgeon 99% of the time). Hope that helps.
 
Messages
2
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0
J2010

My question is with the J2010 being non payable with Medicare is there a DX code I can use to have this covered when the only time they give this injection is if the patient is allergic and can only use this?
 
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