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Thread: Pre-Op and Complaint

  1. #1

    Default Pre-Op and Complaint

    AAPC: Back to School
    If a patient presented to the office for a pre-operative clearance for bunion surgery and the provider addressed an additional complaint of a migraine during the encounter, would this be considered part of the consultation, or would you report an office/outpatient E/M code (99201-99215) instead? Thanks.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

  2. #2
    Join Date
    Apr 2007
    Carmel, New York

    Default Opinion for digestion

    Given this information, I would make the treatment of the migraine part of the consultation. The pre-op consult is the reason for the visit. If the visit was for the migraine as the CC, then I would use the office visit codes.

  3. #3


    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

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