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Preop clearance for major or minor surgeries

P

priceless

Networker
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Shrewsbury, MA
Can a preop clearance be billed for major surgeries(90 global) only or can it be billed for 0 global procedures like endoscopes .

Per CMS, preop clearance(see below article) can be billed if medical necessity is proven but nothing has been mentioned about the type of surgeries that require a preop clearance.

https://www.aafp.org/fpm/2001/0900/p16.html


Thanks
 
Pre-op clearance

It has been my experience that if the patient is being seen by the provider who is doing the surgery(and it falls within the global period 90 days) then the OV is covered in the global period, if it has 0 global days then you are safe to code an E&M visit. Remember: What this means is that certain services are incidental to the main procedure, or that they are considered an integral component of that surgical procedure. This includes both evaluation and management services, as well as physical interventions that may be required in order for the procedure to be successful.

Hope this helps!

Margaret
 
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