Last year our physicians(I work in a family practice) were coding a pre-op H&P as a consult. Now, with the stricker guidelines as well as Medicare's removal of the codes, we are not using the those codes to charge out a pre-op H&P. For Medicare we have been using just regular e/m codes but I am never sure if I should use the pre-op diagnosis V72.83 as primary dx or if I should use the reason for the surgery as the primary diagnosis(ie: carpel tunnel for carpel tunnel surgery).
Also- for commercial insurances I am never sure if the doctors should use the e/m for this as well or charge out an H&P since they are pretty much doing an annual physical in order to approve the patient for surgery.
I am curious to know what everyone else has been doing and what your thoughts are on it.
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