Billing > Billing

pre op billing

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CALI:
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:
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.

CALI:
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:
Yes, the Doctor can bill for the pre-op appointment.  99212, 213 o4 214 depending on what criteria is met.

CALI:
Thanks!

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