tci General Surgery Coding Alert - 2003 Issue 9

Hemorrhoidectomies: How to Expand Your Billing Opportunities

Are endoscopic and E/M services bundled to hemorrhoidectomy procedures? In some cases they are, but in other cases you may claim them separately, thereby boosting your bottom line. Code E/M Services and Scopes for New Patients When the surgeon evaluates a new patient or an established patient with a new problem, you may often report an appropriate-level E/M service and diagnostic scope(s) in addition to any hemorrhoid procedures, says Kathleen Mueller, RN, CPC, CCS-P, a general surgery coding and reimbursement specialist in Lenzburg, Ill. For instance, the surgeon sees a new patient with rectal bleeding. She provides an E/M...

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