Are you saying the Doc put the patient on the surgery schedule even prior to him seeing the patient?
I cant imagine a Doc planning surgery on a patient he has never seen so did he book the surgery as a proactive measure just to block the surgery time?
Regardless, if the decision of what surgery was appropriate and the decision to acutally proceed with the surgery was made during the office visit, then yes you can code the E&M with a mod -57
If the surgery was a done deal at the time of the visit, meaning "your PCP sent you to me to repair your hernia", then the office visit would be pre-op and would be included in the global
The only other option to code the E&M is if the patient presented the day of the surgery and there is medical necessity to re-evalute the patient's condition. For example, patient comes in saying he has been throwing up for 2days or his home BP reads are all elevated.
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join