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Billing for Pre-op evaluation

  1. Default Billing for Pre-op evaluation
    Medical Coding Books
    My surgeon wants to bill for pre-op evaluation if the patient is seen several days before the surgery. He has already seen the patient in consultation and made the decsion for surgery. Please tell me where I can find documentation stating this can't be done unless he is managing an illness or test results.

  2. #2
    Louisville, KY
    CMS spells this out in commentary related to CPT Surgery Global package. I'd check there. I'm also pretty sure your other Fed. payers (Medicaid & Tricare) have similar clauses on their policies.

    I would imagine that if you can validate the three of those, your surgeon may reconsider.

    Good luck.

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