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Preop Physicial

kimb

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Need help. I had a Physician be little me and tell me that I did not know what I was doing in front of my co-workes. He did a pre-op on a patient and all he coded was V72.83, 401.1 & 250.00 with the consult code 99244. When I told him that the second diag. needed to be the reason the patient was having the surgery he got really upset with me and told me I was wrong. The understanding that I have is that you would code it like this:

99244 -
V72.3
715.95
401.1
250.00

The patient is havina a THR because of the DJD
Please help to clear this up for me
 

premin

New
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Pre operative Diagnosis code.

Hi Kim,

Yes you are correct , Accoring to ICD guidelines, we Have to code , Preoperative diagnosis code, then Reason for surgery, Then the diagnosis code found during consultation.

Thanks & Regards,
Prem kumar CPC.
 

sjs-aapc

Contributor
Local Chapter Officer
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12
Location
Montoursville, PA
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Refer the physician to:
ICD-9-CM Official Guidelines for Coding and Reporting (usually located in front of the ICD-9-CM code book)
Section IV. Diagnostic Coding and Reporting Guideines for Outpatient Services
N. Patient receiving preoperative evaluations only

This will explain the exact rules to follow
 

kimb

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Hi Kim,

Yes you are correct , Accoring to ICD guidelines, we Have to code , Preoperative diagnosis code, then Reason for surgery, Then the diagnosis code found during consultation.

Thanks & Regards,
Prem kumar CPC.
Thank you so much for the quick response it really does make me feel better.
Also codes 401.0 & 250.00 would only be used if they are new findings not pre-existing right.
 
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6
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Actually I would agree except that in primary care, we code the
pre-operative diagnosis, the surgical condition, and then the conditions
that necessitate the consult-(what is needing clearance prior to surgery?).
Sheila
 

dmaec

True Blue
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1,133
Location
Hibbing, Minnesota
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kimb you're correct - I'd code it like you wrote it, but do keep the 401.9 and 250.00 because they're part of the reason the patient needed the pre-op.
 
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