Medical Billing Forum

Coding => Coding => Topic started by: Jgonzalez on March 26, 2012, 03:46:36 PM

Title: Medical Clearence!!!
Post by: Jgonzalez on March 26, 2012, 03:46:36 PM
Hi All and thanks to all who contribute to this forum, Lots of great info here. I have a patient with AETNA, we are his PCP and he is going to have surgery to remove a sebaceous cyst removed and the surgeon needs medical clearance from his PCP (us). EKG was done, chest X-ray and blood work were reviewed. Medical Clearance was given for surgery.

I have never found an ICD 9 code for medical clearance so I always just used the office visit codes plus EKG Codes, should I be using a pre op V code- V72.81-V72.84 as a separate line Item or in one of the 4 diagnosis

patient does have these 250.00 - 401.1 - 477.9 - 272.4...but they are not the reason for the need of medical clearance..

Maybe you all can help me out...and I hope you are understanding what I'm asking

Title: Re: Medical Clearence!!!
Post by: Michele on March 30, 2012, 06:55:33 AM
From what I understand when you are doing medical clearance you are supposed to use the dx for the reason for the surgery.  For example, if the surgery is knee replacement due to knee pain, the dx for the clearance is knee pain and then the V code secondary.  (But I'm not a certified coder!  Just wanted to clarify that. ;)  )