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Thread: Pre-op visits

  1. #1

    Exclamation Pre-op visits

    AAPC: Back to School
    my boss does alot of surgery's and he always bills the pre-op visit with an E/M code, should this visit be coded as part of the surgery?

  2. #2
    Join Date
    Apr 2007
    Lubbock, TX


    Quote Originally Posted by Rjessie88@yahoo.com View Post
    my boss does alot of surgery's and he always bills the pre-op visit with an E/M code, should this visit be coded as part of the surgery?
    Pre-op evaluation is part of the global surgical package. He shouldn't submit a claim for reimbursement in the situation you're describing. Hope that helps!

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Global ... EXCEPT

    The visit is global to the surgery EXCEPT in cases where it is the decision for surgery (modifier -57).

    So the patient who presents for a hernia repair that was scheduled, should not also be billed for the required H&P evaluation prior to the surgery.

    While the patient who presents in the ER with RLQ pain, nausea and an ultrasound consistent with acute appendicits, will likely require a billable E/M service that is the decision for surgery.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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