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pre-op w/ colonoscopy

  1. #1
    Jamaica/ Manhattan
    Exclamation pre-op w/ colonoscopy
    Medical Coding Books
    I have one GI question;
    Can the same Doc who performed the colonoscopy bill for a 99214 Dx V72.84, 3 days before the colonoscopy? I have a problem with his diagnosis; I believe he needs to bill with a different diagnosis.or is this part of the RVU's of the colonoscopy??

    Thanks for any input!!!!

    Sandra Monsalve, CPC
    Senior Coding Analyst
    T: (646) 447-7507
    F: (866) 425-0415

  2. #2
    Greeley, Colorado
    If the patient is referred just for a colonoscopy no pre-op can be coded. However, if a consultation is requested first for opinion on a problem (ie rectal bleed) then a consult can be coded even if the specialist decides a scope is needed to diagnose the issue. But you can't code a pre-op for a screening colonoscopy.
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Milwaukee WI
    Default Pre-op exam included in the RVU
    A pre-op exam is included in the RVUs for the procedure. Only way around it is if it the decision for surgery.

    If the only reason your GI specialist is seeing the patient 3 days prior is to get around the usual 24-hr global bundle, it's still not a medically necessary visit and should not be coded.

    F Tessa Bartels, CPC, CPC-E/M

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