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preop clearance cpt & coverage

Pam Posted Wed 03rd of July, 2013 17:31:46 PM

what's the cpt code for pre op clearance by family practice & is it payable by insurance?

SuperCoder Answered Wed 03rd of July, 2013 21:27:03 PM

For your Medicare patients requiring pre-op clearance, you must now report an office or other outpatient evaluation and management (E/M) code (99201–99205 or 99212–99215 since the patient is established). If the service is performed in the inpatient setting, an initial or subsequent hospital care code (99221–99223 or 99231–99233) should be used. Continue to follow CPT instructions for reporting consultation services for patients whose payers still accept the consultation codes.

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