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Need help with a Pre-Op visit

  1. #1
    Default Need help with a Pre-Op visit
    Medical Coding Books
    We have two Medicaid patients that came in for a pre-op evaluation before getting dental surgery. Apparently, they both missed their surgery dates, and Medicaid states that they need to have another evaluation before proceding with the surgery, since some time has gone by.

    We billed the original evaluation as a wellness visit. Medicaid only pays for one Wellness visit/yr. Any ideas on how to submit this so we get paid for the other evaluation.


    Oh, and the office did not have the patient's parents sign non covered waivers either

  2. #2
    I understand that the consultative codes are not allowed by Medicare and I m asumming is the same with medicaid. I woul bill using a visit code 9921x with V72.81-v72.84 diag.

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