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Billing surgery without discharge summary?

  1. #1
    Red face Billing surgery without discharge summary?
    Medical Coding Books
    I have several providers who dictate the operative report but are slow at getting the discharge summary dictated. Can I go ahead and bill out the surgery without the discharge summary as long as I eventually get the discharge summary?


  2. #2
    As far as I know, there is no discharge summary needed for a surgery account, assuming it is a one day procedure. If the patient is an inpatient then you would need a discharge summary, such as a knee replacement or a hysterectomy, but for say, a colonoscopy or EGD, a d/s should not be needed.

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