tci E/M Coding Alert - 2014 Issue 7

Reader Question: Untangle the Encounter Details to Code a Pre-Op Clearance

Question: A Medicare patient came in to see our pulmonologist to get clearance for her knee replacement surgery upon the request of her orthopedic surgeon. The orthopedic surgeon wants to make sure her lungs are strong enough to handle the procedure and the post-procedure recovery. How do I code this? Massachusetts Subscriber Answer: Depending on the details of the encounter and the payer’s requirements, you would most likely choose the most appropriate E/M office visit code from the 99201-99214 (Office or other outpatient visit …) range for this pre-operative clearance encounter.  Reminder: You may also want...

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