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Thread: pre-op done pt cancels surgery

  1. #1
    Join Date
    Apr 2007

    Default pre-op done pt cancels surgery

    AAPC: Back to School
    Can we charge out an E/M visit if our doc performs a pre-op for the 3rd time and the patient has cancelled surgery each time for various reasons. We would like to charge out for this last pre-op, because we are not sure patient will even reschedule this surgery. I think we can document and charge out on time based. Any help would be appreciated!!

  2. #2


    Your Physician performed the E&M service and can code/bill for each service he provided. Physician needs to have strong documentation for each of these pre-op visits. It is irrelevant that the patient has chosen to cancel each. No surgery, no global period

    You also might look at the V64 code range and code/bill for each service provided and use the V64.2 as secondary to help explain why the multiple pre-op visits

    Of course, your physician may not want to bill as a practice/business decision. So everyone needs to agree (before any billing is sent out) on how to handle this and inform the patient that she will be charged for each of these visits.

    V64.1 Surgical or other procedure not carried out because of contraindication
    V64.2 Surgical or other procedure not carried out because of patient's decision
    V64.3 Procedure not carried out for other reasons

  3. #3
    Join Date
    Apr 2007


    Thank you so much for the information!!!

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