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Shelly Posted 3 month(s) ago
What is the correct way to code a Pre Op with a OV 9914 or 9915. What are the most common lab work codes used for a Pre Op visit. Also Code 80061 is lipid panel is that a bundle code with any of these codes? Example of how I bill a Pre Op 99214, 93010, 71020, 85027, 36415, 80053, 85730, 86703, 81003dip. Can you please tell me if this correct?
SuperCoder Posted 3 month(s) ago

HELLO

If the decision for surgery occurs the day of or before the major procedure and includes the preoperative evaluation and management (E/M) services, then this visit is separately reportable. Modifier 57, Decision for Surgery, is appended to the E/M code to indicate this is the decision-making service, not the history and physical (H&P) alone. If the surgeon sees the patient and makes a decision for surgery and then the patient returns for a visit where the intent of the visit is the preoperative H&P, and this service occurs in the interval between the decision-making visit and the day of surgery, regardless of when the visit occurs (1 day, 3 days or 2 weeks) the visit is not separately billable as it is included in the surgical package. Example: The surgeon sees the patient on March 1 and makes a decision for surgery. Surgery is scheduled for April 1. The patient returns to the office on March 27 for the H&P, consent signing, and to ask and clarify additional questions. The visit on March 27 is not billable, as it is the preoperative H&P visit and is included in the surgical package.”

Diagnostic radiological and laboratory services including pathology are not included in the global package and will be paid separately but provided these should be medically necessary and there has to be a separate dx for each service in order to indicate its medical necessity.

You may also refer to the following link for further help:

http://www.chatn.org/wp-content/uploads/2015/09/CHA_PD_GlobalSurgicalBillingGuidelines.pdf

HOPE THIS HELPS!

Posted by Shelly, 3 month(s). There are 2 posts. The latest reply is from SuperCoder.

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