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Wiki Pre-op exam

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H

HBULLOCK

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SALEM NH
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We have a pediatric patient who came in for a pre-op physical for surgery clearance. I don't bill medicare very often so I'm not sure how to bill. We usually use the v72.84 dx and 99212/99213. I was wondering if Medicare likes these type billed differently. Any help would be appreciated. Thanks :)
 
pre op

Use the diagnosis as to why they are having surgery any other conditions along with
V72.84. ie; back surgery (back pain).
 
Medicare Doesn't Cover Pre-ops

Ever. Does the pt have Medicaid as secondary? They might pay in the event Medicare doesn't--(which requires you to submit the claim with the denial remittance) but that's a BIG might.

It was brought to my attention that my answer above is not correct.
Please see Medicare's transmittal at http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R1719B3.pdf for more information on Medicare, preoperative encounters, and reimbursement.
 
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i would bill an office visit based off of the documentation with a dx V72.83 and with whatever reason the surgery is for (354.0? 366.9? etc etc) we do this all the time :)
 
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