Author Topic: pre op billing  (Read 1733 times)

CALI

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pre op billing
« 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?

Michele

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Re: pre op billing
« Reply #1 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.
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CALI

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Re: pre op billing
« Reply #2 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

DMK

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Re: pre op billing
« Reply #3 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.

CALI

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Re: pre op billing
« Reply #4 on: January 16, 2012, 12:47:22 PM »
Thanks!