I am soo confused after reviewing a multitude of posts on preop visits. Please help!!
First, I code for OBGYN and ORTHO, both do their own preoperative exams for the most part. They are performing these days to weeks prior to surgery, (not the previous/same day). I have read conflicting things, some say this is still considered part of the global regardless of how soon prior to surgery the service occured, others state it can be billed since it is not the day of or immediately prior to surgery.
Second, I also code for family practice (small rural area/almost all hospital owned), the PCPs are also requested by the general surgeon to perform a preop exam on patients when they have other conditions, such as, hypertension and diabetes, etc.. Now, since the request is specifically because of the patients conditions and not just a preop is this an E&M or do I bill the surgery with a 56 modifier. (Which I never knew should have been done!!) An added question to this preop: How do I know for sure the correct procedure code to bill with a 56?
I'm so confused and frustrated!
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