tci Part B Insider - 2009 Issue 24

PART B CODING COACH: 3 Steps Prep Your Pre-Op SPECT Claims for Success

Here's why listing V codes first is OK in certain cases -- but watch your documentation. If you fear a denial every time you choose an ICD-9 code for a "normal" study, you're in luck with pre-op evaluations. Get the scoop by learning the rule and applying it to the sample case below. Make Pre-Op Dx Easy as 1-2-3 Rule: In 2001, Medicare issued guidelines for coding pre-op exams (CMS transmittal 1719, www.cms.hhs.gov/transmittals/downloads/R1719B3.pdf): 1. Report the pre-op V code first. "The ICD-9 code that appears in the line item of a preoperative examination or diagnostic...

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