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Thread: Office visit prior a screening colonoscopy

  1. #1
    Join Date
    Apr 2007
    Hampton, NH

    Default Office visit prior a screening colonoscopy

    AAPC: Back to School
    Our office (GI Specialist) as a standard has always had PTs that are anemic, diabetic, on blood thinners or that have had heart or kidney surgeries come in for an office visit prior to scheduling a procedure.

    Is it ok for us to be billing the OV seperately? Or should this be included in the global.

    Thank you

  2. #2

    Default Office Visits

    Well, it is ok to bill the visit but it gets down to intent of the visit. The primary diagnosis would be ok for anemia, but, evaluation for blood thinners would end up being I believe a V-code which would not be a covered diagnosis.

    The global for a colonoscopy is not a consideration with most payers for office or outpatient setting e/m visits prior to the procedure.

    Hope this is helpful.

    Kathleen J. Wolfe, CPC

  3. #3
    Join Date
    Apr 2007
    Columbia, MO


    FYI -The code for evaluation of blood thinners is V58.83 and the V58.61 secondary. I have never had a problem with this being covered. The V58.61 however is a secondary only allowed code and would not be paid if listed first.
    As far the office visit prior to the colonoscopy - If the colonoscopy is prior scheduled then the generally accepted practice is that you can not charge an office visit prior to the colonoscopy unless there is a new complaint or change in status.

    Debra A. Mitchell, MSPH, CPC-H

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