Forum - Questions & Answers

Feb 4th, 2010 - mbeggs

No Medicare Consults

When a family Doctor is requested by a surgeon to do a H&P prior to surgery it is required to bill the appropriate New or Established visit. However, do you still need to use the V72.83 (Exam Pre-OP) as a second code and is the referring Doctor still required on the claim?

Feb 4th, 2010 - nmaguire   2,606 

pre-op

The primary diagnosis is always "why" you are seeing the patient, so, yes.
It won't hurt putting requesting MD, nothing specific from CMS.

Feb 4th, 2010 - nmaguire   2,606 

Pre-op

The V code is primary with condition secondary unless instructed otherwise by payer.



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