Author Topic: pre op billing  (Read 2860 times)

CALI

  • Newbie
  • *
  • Posts: 24
pre op billing
« on: January 13, 2012, 05:43:44 PM »
Hi,
I do billing for a surgeon; I bill as new pt ; it is decided the pt will have surgery; the Dr sees the pt  later for a pre op; my question is can I bill for E/M prior to surgery?

Michele

  • Administrator
  • Hero Member
  • *****
  • Posts: 5927
    • Solutions Medical Billing
Re: pre op billing
« Reply #1 on: January 14, 2012, 09:12:46 AM »
Was the surgery performed the same day?  You certainly can bill the E/M but the carriers may bundle it in with the surgery.  It will depend on the insurance/plan.
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

CALI

  • Newbie
  • *
  • Posts: 24
Re: pre op billing
« Reply #2 on: January 16, 2012, 01:55:16 PM »
Let me rephrase: Dr sees the pt and I bill  with a new pt E/M code; at that visit it is decided the pt will have surgery at a future date; the pt returns for a pre op visit for surgery scheduled on another day; my question is can I bill an E/M for the pre op and which code would be appropriate.
thanks

DMK

  • Hero Member
  • *****
  • Posts: 680
Re: pre op billing
« Reply #3 on: January 16, 2012, 02:35:58 PM »
Yes, the Doctor can bill for the pre-op appointment.  99212, 213 o4 214 depending on what criteria is met.

CALI

  • Newbie
  • *
  • Posts: 24
Re: pre op billing
« Reply #4 on: January 16, 2012, 03:47:22 PM »
Thanks!

Medical Billing Forum

Re: pre op billing
« Reply #4 on: January 16, 2012, 03:47:22 PM »