AAPC - Back to school
Results 1 to 4 of 4

Thread: question about decision for surgery

  1. #1
    Join Date
    Apr 2007
    Lehigh Valley

    Default question about decision for surgery

    AAPC: Back to School
    Hello all,

    We have a patient in the hospital right now, which we saw for the first time for gallstone pancreatitis. During the course of her hospitalization, the doctor's plan stated that in 4-6 weeks, he plans on performing a lap chole. The patient was still in the hospital for six days after this and there are notes written.

    If the decision for surgery is already made, can I still bill out the subsequent hospital visits, especially if they keep talking about the lap chole???

    Also, the patient will be returning to the office to discuss the lap chole, will that E/M be billable???

    I am thinking not, but needed other opinions.

    Thanks so much!

  2. #2
    Join Date
    Apr 2007


    The surgery was not done during this inpatient stay, there is no global period at this point so as long as the visits were medically necessary they should be billed.

    As far as the out patient visit prior to the surgery, unless something changes and they decide not to do surgery I probably would not bill that one.

    Laura, CPC, CEMC

  3. #3
    Join Date
    Apr 2007
    Central Pittsburgh


    The visits are all billable. What won't be billable is athe admission for the actual surgery.

  4. #4
    Join Date
    Apr 2007
    Milwaukee WI

    Default Billable

    The hospital visits are all billable.

    The office visit "to discuss the lap chole" ... if this is to (re)evaluate and make a final decision for surgery I would bill it out.

    BUT if this is just to finalize the surgery scheduling and get consent forms and H&P filled out I would not code it (even if it's outside the official global period).

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Decision for surgery
    By mcamp in forum E/M
    Replies: 1
    Last Post: 12-12-2015, 07:28 PM
  2. Decision for Surgery
    By az2tn@yahoo.com in forum E/M
    Replies: 2
    Last Post: 07-14-2013, 06:21 AM
  3. Decision for surgery -57
    By bill2doc in forum General Surgery
    Replies: 4
    Last Post: 02-12-2013, 12:45 PM
  4. Decision for Surgery
    By sctaylor in forum E/M
    Replies: 3
    Last Post: 11-15-2012, 07:23 AM
  5. Decision for surgery
    By colorectal surgeon in forum E/M
    Replies: 2
    Last Post: 04-25-2011, 12:30 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?


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.