Results 1 to 4 of 4

Pre-op visit billing

  1. Default Pre-op visit billing
    Medical Coding Books
    Our physician does the surgery but brings the patient in a few days prior to surgery to review pt hx and the procedure. Is there a pre-op code like 99024 for post-op? He does the H & P in the hospital on the day of surgery. Can this even be billed?

  2. #2
    Default
    check with your local CMS Medicare MAC for their global surgical package fact sheet for guidance.

    PER CMS.GOV fact sheet page 3 any visits for the reason that the surgery was made can't report "Pre-op" visits after the decision for surgery has been made.

    http://www.cms.gov/Outreach-and-Educ...-ICN907166.pdf

    sorry it will not let me submit as a hyperlink. Just google CMS global fact sheet.

    I hope this answers your question!!!!

  3. Default
    Thank you for the help but I still am not sure about this one. The pt came in on the first and decision was made for surgery and scheduled. He brought pt back on the 18th to go over it again and then the surgery was done on the 21st. Is the 18th a billable charge? I don't think it is be the surgeon does.

  4. #4
    Location
    Nashville AAPC Chapter
    Posts
    937
    Default
    This topic has been discussed several times in the forum and sources provided, you can do a search and see the CPT Assistant reference that the 18th is not billable as it is inclusive to the global package.

    Source: May 2009 CPT Assistant

Similar Threads

  1. Billing post op office visit when insurance denied surgery for no pre auth
    By urbach34@yahoo.com in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 11-11-2015, 06:47 AM
  2. Not a Pre-op Visit
    By Jessheartz in forum General Surgery
    Replies: 0
    Last Post: 09-25-2015, 12:27 PM
  3. Pre-Op visit
    By tlatte in forum Family Practice
    Replies: 3
    Last Post: 02-19-2014, 02:45 PM
  4. Pre-Op visit
    By sknapp56 in forum OB/GYN
    Replies: 2
    Last Post: 08-24-2011, 11:52 AM
  5. Replies: 3
    Last Post: 02-17-2008, 05:41 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.