Wiki Pre-Op Clearance

[caroline75771]

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]

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]

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

 

[caroline75771]

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