Pre-Op Clearance

caroline

Guru
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What is the appropriate way to report pre-op clearance when surgeon has sent patient to pediatric provider?
Can we bill consult codes when there is no medical condition?
Does it depend on the carriers?
Thank you.
 

mitchellde

True Blue
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13,426
Location
Columbia, MO
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If you are the patient's PCP that is being asked to provide preop clearance then this is not a consult visit. It is either an ov level or it is the surgical code with the 56 modifier attached, depending on timing.
 

dsmith06351

Networker
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Could you please explain what you mean by the timing difference? This has been a thorn at our office lately. And where can I reference this information to show our doctors?

Thanks for any help

Denise Smith CPC, CEMC
 

caroline

Guru
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Does anyone have access to the AAP coding newsletters to reference the above or this issue?
 
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