tci General Surgery Coding Alert - 2001 Issue 7

HCFA Briefs: Medicare Carriers Instructed to Accept Pre-op Clearance V Codes

HCFA has revised section 15047 of the Medicare Carriers Manual (MCM) to ensure local Medicare carriers allow the use of codes V72.81-V72.84 to provide medical necessity for preoperative clearance exams. According to Medicare transmittal R1707-B3, dated May 31, "Carriers should delete any processing edits that deny claims [for] or identify for manual review ICD codes V72.81 through V72.84." However, "claims containing these codes are subject to medical-necessity determinations as described in MCM section 15047H." According to the new language in section 15047C, Medicare will pay for all medically necessary preoperative clearances, such as...

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