Wiki Pre-op visit

Create Wiki
M

mstallings

Guest
Messages
52
Location
Springfield, Missouri
Best answers
0
I would like to know what other office's are doing out there regarding billing pre-op visits.

Currently- our ortho dept. sees a patient in the office -decision for surgery is made...however the surgery may not happen for 30 days- the hospital requires a current H&P...so surgeon may bring patient back in to update. He is not billing however using a 99025/NC which is a code from 2007. This code was just recently taken off the tickets- because of not being a valid CPT any longer....so the doctor wonders what he should do.

He has been told he cannot bill an E&M if he is just bringing patient back in to update the H&P. All components are the same, nothing has changed.

How are you capturing this encounter? Doesn't matter if it is ortho, general surgery etc. Thanks!!!
 
Our practice considers the pre op H&P as included in the surgery global package.
We capture the encounter by using a 'dummy' code on our encouter form for the H&P along with diagnosis code V72.84.
 
Our office bills it as part of the global using 99024 to "capture" it. The surgical package for the global period includes a % of $ that is dedicated to cover preop costs. Example is a shoulder arthroscopy surgery. Per EndcoderPro the breakdown of payment is as follows:
Global Information

Global-Split

Preoperative %: 10
Intraoperative %: 69
Postoperative %: 21

Global Period (days): 090
So the Preop is part of the global package. That is our understanding anyways:)
 
You must log in or register to reply here.
Top