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Thread: Please help clarify: Bill for preop visit?

  1. #1

    Default Please help clarify: Bill for preop visit?

    AAPC: Back to School
    I am getting mixed signals on this.

    When a patient comes to our doc (surgeon) as a consult from another physician, when can I bill for this office call? If surgery isn't scheduled? Can I EVER bill when surgery is scheduled AS A RESULT of this office call? The point of the office call is to evaluate whether or not the patient requires surgery.

    Thank you.

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default New patient?

    If this is a new patient you can certainly bill for the office visit (may be a consult or may be a new patient).

    If a decision was made for surgery, and that surgery is being done within 24 hours, then you will need a -57 modifier as well.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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