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Preoperative exams for surgery

  1. #1
    Location
    Bradenton
    Posts
    16
    Red face Preoperative exams for surgery
    Medical Coding Books
    There seems to be great debate over whether you can bill for a pre-operative exam. Patient is coming in a few days before surgery for the doctor to check her over and do a full physical, she will then go over to the hospital for labs and x-rays. Is this part of the global surgery or is it billable?

  2. #2
    Location
    Modesto, CA; Central Valley Chapter
    Posts
    225
    Default
    If you read the global surgical package information in the CPT book it is the day prior to surgery................however, now days providers cannot always see the patient right before therefore it gets book ahead a few days.

    Yes, I also believe that some providers do this to get around the sugical package.

    But technically the guidelines do state the day prior to or day of surgery.

    Not sure this was helpful!
    Tina Reich, CPC, CPC-I, CEMC

  3. #3
    Default
    Quote Originally Posted by KimmieG View Post
    There seems to be great debate over whether you can bill for a pre-operative exam. Patient is coming in a few days before surgery for the doctor to check her over and do a full physical, she will then go over to the hospital for labs and x-rays. Is this part of the global surgery or is it billable?
    In our case, we are the PCP for the pt and the surgeon is requesting we do a pre-op exam on these pt's usually they have other co-morbidities like HTN, DM etc... so in our case we do bill it as pre-op.
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

  4. #4
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    The PCP can code a consultation for the pre-op if it is requested by the surgeon. The PCP is rendering their opinion as to wheter or not the patient is cleared for surgery. They must report back to the surgeon their opinion on clearance for surgery and recommendations regarding any co-morbidities. ICD-9 coding would be V72.8X/reason for surgery/co-morbidity dx's.

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