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Need help please

  1. #1
    Reading, PA
    Default Need help please
    Medical Coding Books
    I need proof to an answer, but I don't know where to find it online:
    PreOp days/Global to Surgery

    Pt was seen by Plastic Surgeon for a consult on 9/4/2009 with dx for surgery

    Pt came back to Plastic Surgeon for another visit on 9/18/2009, same dx as previous visit (what code should I bill for this visit, the surgeon gave me a code 99022 which is not a valid code and I don't have the office notes)

    (Pt went to PCP on 9/23/2009 for preop clearance)

    Pt will be having Surgery with in the next few weeks (not the day after 9/18)

    Can I bill an established E/M code, 99212-99215, for 9/18/2009?
    Do I have to worry about any preop global days?
    Modifier? Or is there another code I should be looking at?

    Thank you in advance

  2. #2
    You would use the 99212-99215 code set. I would pull the note first though, because I am wondering if maybe the surgeon meant 99024 and wanted this to be a no charge visit.

    Laura, CPC, CEMC

  3. Default
    If I understand it correct, the surgery has not been done yet. So the 09/18/09 is a regular office visit.


  4. #4
    I agree that it should be a 9921X code for the 9-18 visit. The fact that the patient went to their PCP doesn't affect your billing at all. You are only responsible for your doctor.

    Mema, CPC

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