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Thread: help with preop coding

  1. #1

    Default help with preop coding

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    Hello all, In all my previous experience we charge consults for any preops that were referred to us. My doc heard through the great vine that he can code a physical and consult because he has to do a physical in a preop clearence. I know we can charge both codes with a modifier 25 but I am not feeling comfortable with the two codes and I am not sure we will receive payment.

    Can anyone give me some insight how they handling this?
    Les

  2. #2
    Join Date
    Apr 2007
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    Des Plaines
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    Default

    You should bill consult code. use referral Md info

  3. #3
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    Apr 2007
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    York, Pa
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    Quote Originally Posted by lmaxwell View Post
    Hello all, In all my previous experience we charge consults for any preops that were referred to us. My doc heard through the great vine that he can code a physical and consult because he has to do a physical in a preop clearence. I know we can charge both codes with a modifier 25 but I am not feeling comfortable with the two codes and I am not sure we will receive payment.

    Can anyone give me some insight how they handling this?
    Les
    If the pt is being "referred to you" then you should just be billing a consult.

    R. Thames, CPC

  4. #4
    Join Date
    Apr 2007
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    Louisville, KY
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    Ditto. The "Physical" (Prev. Med codes, I suppose you're talking about) is not appropriate in this instance. The Consult should suffice, along with any adjunct services provided.

    If your physician is really interested in getting the biggest bang for his/her "buck," try looking at those "miscellaneous" charges your practice might be missing on this type of service: 99080, ancillary testing and so on.

    Just a thought...
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

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