Question
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Are preoperative visits billable? If so, what code should be used and what is the time frame before surgery to submit this code? ...
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Article Overview
This short guidance article addresses whether preoperative visits can be billed separately and how timing around the surgical decision affects reporting. It is intended for coding, billing, and clinical staff who need a high-level understanding of preoperative E/M visit billing and related surgical package rules.
Why This Topic Matters
Preoperative visit billing can affect claim submission, compliance, and whether an evaluation is considered part of the surgical package or a separately reportable service.
What You Will Learn
- How preoperative evaluation visits are generally handled for billing purposes
- How the timing of a surgical decision relates to separate reporting of an E/M service
- Why some preoperative encounters are considered part of the surgical package
- How example timing scenarios fit into the overall billing discussion
Who Should Read This
- Medical coders
- Billing staff
- Physician practices
- Surgical office staff
Modifiers Discussed
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