Pre op clearance

Lisa Bledsoe

True Blue
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2,046
Location
Greeley, Colorado
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My ortho dept employs a NPP who the docs want to have do their pre op clearance exams, as opposed to sending the patient to their PCP. She used to work in Family Practice and Internal Medicine. Is this appropriate if she codes an established E/M with the appropriate pre op codes? Thanks for any and all opinions!
Lisa
 

LOVE2CODE

Expert
Messages
392
Location
Alexandria, VA
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Sorry,
The NPP cannot bill for a pre op....Especially if she is using the same Tax ID # as the Ortho Doc....Majority of the ins co's want the pre op done by a IM or Family Practice. A consultation cpt code should be used when IM or FP bill.
 
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