Results 1 to 6 of 6

preventine visit/pre-op physical

  1. #1
    Question preventine visit/pre-op physical
    Exam Training Packages
    would you charge a physical with 99385 and charge the pre-op with 99213-25

  2. #2
    Default
    I write this respectfully, your question doesn't make any sense.
    If there coming in for Pre-Op visit requested from a surgeon. Then just code the Consult CPT codes. You can't code both of these codes together.

    Daniel
    CPC

  3. #3
    Default
    Quote Originally Posted by daniel View Post
    I write this respectfully, your question doesn't make any sense.
    If there coming in for Pre-Op visit requested from a surgeon. Then just code the Consult CPT codes. You can't code both of these codes together.

    Daniel
    CPC
    The question that did not make any sense, is exactly as I asked it. I had a patient come in for a pre-op and the doctor is also coding a preventive visit with it, because the patient wanted a physical, but I did not think you could charge both. I wanted to double check with someone that knew for sure so I could explain it to the Physician.

    thanks

  4. Default
    You should not charge both codes. The correct code would be a consutation code with the appropriate V code ICD-9. The doctor will not get paid for both-the patient should be asked to schedule a physical for another day and that would be the appropriate preventative code-such as 99395.

  5. #5
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    And don't forget that you must have a request for the pre-op and report back to the surgeon to code it as a consult. Also, the diagnosis coding should be the appropriate pre-op V code first, the reason for surgery second, and any current diseases after (like HTN or DM, etc).

  6. #6
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    in my opinion, as long as documentation supports BOTH the preventive service AND a significant separate service for the pre-op (pre-op focused) - you should be able to charge both services, linked accordingly to the specific dx codes. The pre-op E/M would need a modifier .25 on it. (in my opinion) When this happens in our facility, the provider will actually do two progress notes, which makes it very easy to see the difference and have supporting documentation for both services.

Similar Threads

  1. Pre-op Physical Therapy
    By lpinkham1 in forum Orthopaedics
    Replies: 0
    Last Post: 04-01-2014, 09:56 AM
  2. Pre-Op History and Physical
    By CMMORSE in forum Orthopaedics
    Replies: 3
    Last Post: 03-17-2010, 11:07 AM
  3. Pre-Op History and Physical
    By CMMORSE in forum E/M
    Replies: 1
    Last Post: 03-16-2010, 09:56 AM
  4. pre-op physical exam
    By mkm1517 in forum Family Practice
    Replies: 1
    Last Post: 07-10-2009, 04:34 PM
  5. pre-op physical exam
    By mkm1517 in forum Diagnosis Coding
    Replies: 1
    Last Post: 07-10-2009, 03:49 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.