Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

PRE OPP VISIT

Shade Posted Thu 01st of May, 2014 09:44:13 AM

WHAT CPT CODE TO USE FOR PREOOP VISIT.

SuperCoder Answered Thu 01st of May, 2014 16:50:01 PM

A pre-op visit/exam is a physician's assessment of a patient's risk for complications before and after surgery. It includes EKG with interpretation, lab work, and plan of care assessment pre and post-op. A lot of time does go into those visits and they are payable by Medicare and most third-party payers when there is medical necessity with adequate documentation.

Most physicians will bill that time using an E/M code. The diagnoses on the claim have to indicate that it was for a pre-op exam, the reason for the surgery, and the patient's underlying medical problems. The payer will determine medical necessity.

Related Topics