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.