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Thread: Billing for Pre-op evaluation

  1. #1

    Default Billing for Pre-op evaluation

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    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.
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

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