Medical Billing Forum

Billing => Billing => Topic started by: CALI on January 13, 2012, 02:43:44 PM

Title: pre op billing
Post by: CALI on January 13, 2012, 02:43:44 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?
Title: Re: pre op billing
Post by: Michele on January 14, 2012, 06:12:46 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.
Title: Re: pre op billing
Post by: CALI on January 16, 2012, 10:55:16 AM
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
Title: Re: pre op billing
Post by: DMK on January 16, 2012, 11:35:58 AM
Yes, the Doctor can bill for the pre-op appointment.  99212, 213 o4 214 depending on what criteria is met.
Title: Re: pre op billing
Post by: CALI on January 16, 2012, 12:47:22 PM
Thanks!