AMA CPT® Assistant - 2009 Issue 2 (February)

Surgery Guidelines (February 2009)

February 2009 page 22-end Surgery Guidelines The text of this article has been revised to further clarify it. See the clarification article here. Question: Are preoperative visits billable? If so, what code should be used and what is the time frame before surgery to submit this code? Answer: If the decision for surgery occurs the day of or day before the major procedure and includes the preoperative evaluation and management (E/M) services, then this visit is separately reportable. Modifier 57, Decision for Surgery, is appended to the E/M code to indicate this is the decision- making service, not the...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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