• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Pre op

Create Wiki
S

samyjm13

Guest
Messages
187
Location
Meridian, ID
Best answers
0
A patient was referred for a colon cancer screening. With no other dx, would I code the V72.83 and V76.51 and a 99203 E/M. Or can I even code a pre-op before the screening. The Dr. did a pretty good exam. Is this right or am I off base? this is not a medicare patient.

Thanks,
Jeanne
 
Last edited:
Unfortunately, there isn't clear cut answer aside from there's Pre-Op E/M reimbursed with the screening codes (0 day global or XXX - included in another service). I'd suggested billing an E/M only if you can justify Mod -25 as separate and distinct; in addition, I'd make sure you can justify medical necessity for doing such an exam. If you can justify both, bill it. If not, well, don't.

I understand it's not Medicare but I've added the link for CMS' Preventive Services manual(too big to attach) as it might help. It doesn't directly answer your question for colonoscopies but answers it for other Preventive Services which should have the same policy.

http://www.cms.gov/Outreach-and-Edu...NProducts/downloads//mps_guide_web-061305.pdf
 
You must log in or register to reply here.
Top