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Thread: Pre-Op Clearance

  1. #1

    Default Pre-Op Clearance

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    What is the appropriate way to report pre-op clearance when surgeon has sent patient to pediatric provider?
    Can we bill consult codes when there is no medical condition?
    Does it depend on the carriers?
    Thank you.

  2. #2
    Join Date
    Apr 2007
    Location
    Columbia, MO
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    12,168

    Default

    If you are the patient's PCP that is being asked to provide preop clearance then this is not a consult visit. It is either an ov level or it is the surgical code with the 56 modifier attached, depending on timing.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3

    Default

    Could you please explain what you mean by the timing difference? This has been a thorn at our office lately. And where can I reference this information to show our doctors?

    Thanks for any help

    Denise Smith CPC, CEMC

  4. #4

    Default

    Does anyone have access to the AAP coding newsletters to reference the above or this issue?

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