Go Back   AAPC Forum > Medical Coding > E/M
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Thread Tools
Old 12-12-2007, 09:45 AM
pausuga pausuga is offline
Join Date: Apr 2007
Posts: 6
pausuga is on a distinguished road
Question Medical clearance

Could someone help me how do I have to code a visit, at the physician office, where the patient is seen to give him a medical clearance for a surgery? I use the office visit code but I dont found the code (ICD 9CM)for a diagnosis like "medical clearance for surgery" The Dr perform a physical check up, labs and EKG.
Thank you
Reply With Quote
Old 12-12-2007, 09:58 AM
Cottrell Cottrell is offline
Join Date: Apr 2007
Location: north seattle wa
Posts: 103
Cottrell is on a distinguished road
Default medical clearance

It depends on what insurance they have. Medicare wants the condition for which the service was requested as well as the pre-op V code- V72.81-V72.84. If the pt was sent to your doc because of high blood pressure and the surgeon wanted them cleared before surgery, according to Medicare you would bill for E&M service and the 401.9 for the high blood pressure first with the preo-op V code second. You don't use the reason the pt is having the surgery.
Here is the verbage that Medicare put out:
The new instructions from CMS are very explicit. Medical preoperative examinations and diagnostic tests done by, or at the request of, the attending surgeon will be paid by Medicare, assuming, of course, that the carrier determines the services to be "medically necessary." All such claims must be accompanied by the appropriate ICD-9 code for preoperative examination (i.e., V72.81-V72.84). Additionally, you must document on the claim the appropriate ICD-9 code for the condition that prompted surgery. If there are other diagnoses and conditions affecting the patient, you should also document those on the claim.

Hope this helps.
Reply With Quote
Old 12-14-2007, 04:59 PM
daniel daniel is offline
True Blue
Join Date: Apr 2007
Posts: 518
daniel is an unknown quantity at this point
Default Attention

You can code all Pre - Op clearances as CONSULTATION CODES. Just be sure you have a request form from the Dr. or Hospital. Suggest you surf the web and you'll see something on there pertaining to this. Check out AAFP, and surf around there also. Plus use, V72.81-V72.84 for the DX and any other conditions brought up after.
Reply With Quote
Old 12-21-2007, 09:48 AM
mrssnail's Avatar
mrssnail mrssnail is offline
Join Date: Apr 2007
Location: Columbus, OH
Posts: 211
mrssnail is on a distinguished road

You would bill a consultation code for a Pre-Op Clearance if, and only if, you have a request from requestor with a specific medical reason. So if the reason is the person is having cataract surgery and they want clearance, that isnt enough. However if your physician is being asked by the requestor for pre-op clearance due to the patients HTN, bingo we got it!.
Michelle Wood, RHIT, CCS-P, CPC, CEMC, CMSCS
Reply With Quote
Old 09-07-2011, 11:08 AM
cody1 cody1 is offline
Join Date: Apr 2007
Location: Moore Local Chapter
Posts: 5
cody1 is on a distinguished road
Default medical clearance

What if the patinet is wanting medical clearance to go back to work? How would that be coded?
Reply With Quote

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 02:44 AM.

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2015, Jelsoft Enterprises Ltd.
Copyright ?2015, AAPC