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Preop Physicial

  1. #1
    Red face Preop Physicial
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    Need help. I had a Physician be little me and tell me that I did not know what I was doing in front of my co-workes. He did a pre-op on a patient and all he coded was V72.83, 401.1 & 250.00 with the consult code 99244. When I told him that the second diag. needed to be the reason the patient was having the surgery he got really upset with me and told me I was wrong. The understanding that I have is that you would code it like this:

    99244 -
    V72.3
    715.95
    401.1
    250.00

    The patient is havina a THR because of the DJD
    Please help to clear this up for me

  2. Default Pre operative Diagnosis code.
    Hi Kim,

    Yes you are correct , Accoring to ICD guidelines, we Have to code , Preoperative diagnosis code, then Reason for surgery, Then the diagnosis code found during consultation.

    Thanks & Regards,
    Prem kumar CPC.

  3. #3
    Location
    Williamsport, PA
    Posts
    12
    Default
    Refer the physician to:
    ICD-9-CM Official Guidelines for Coding and Reporting (usually located in front of the ICD-9-CM code book)
    Section IV. Diagnostic Coding and Reporting Guideines for Outpatient Services
    N. Patient receiving preoperative evaluations only

    This will explain the exact rules to follow

  4. #4
    Default
    Quote Originally Posted by premin View Post
    Hi Kim,

    Yes you are correct , Accoring to ICD guidelines, we Have to code , Preoperative diagnosis code, then Reason for surgery, Then the diagnosis code found during consultation.

    Thanks & Regards,
    Prem kumar CPC.
    Thank you so much for the quick response it really does make me feel better.
    Also codes 401.0 & 250.00 would only be used if they are new findings not pre-existing right.

  5. Default
    Actually I would agree except that in primary care, we code the
    pre-operative diagnosis, the surgical condition, and then the conditions
    that necessitate the consult-(what is needing clearance prior to surgery?).
    Sheila

  6. #6
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    kimb you're correct - I'd code it like you wrote it, but do keep the 401.9 and 250.00 because they're part of the reason the patient needed the pre-op.
    Donna, CPC, CPC-H

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