tci E/M Coding Alert - 2013 Issue 8

Specialty Focus -- Pulmonology: Focus Your Diagnosis Coding for Pre-Op Clearance Encounters

Know when you can — and can’t — report an E/M service before surgery. If a surgeon performs a preoperative visit with a patient the day before he does surgery on her, that visit is included in the surgical global fee. But if the surgeon sends the patient to a different physician for surgical clearance, that physician’s coding options change. Make sure you know how to decipher billable and non-billable pre-operative encounters with these tips. Determine the Setting When the provider performing the pre-op clearance sees the patient, you can report an evaluation and management code. Which...

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