Medicare Compliance & Reimbursement - 2008 Issue 12
You Be the Coder: When Can You Report Presurgical H&P?
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Article Overview
This Q&A-style coding article discusses presurgical history and physical services in the surgical setting, including when a separate evaluation and management visit may be reported and when the encounter is considered incidental to the procedure. It is aimed at coding professionals working with surgical documentation, preoperative visits, and payer medical-necessity requirements. The discussion also references same-day decision-for-surgery scenarios and the diagnosis coding commonly associated with routine preoperative examination.
Why This Topic Matters
Preoperative visits are a frequent source of billing questions, and determining whether they are separately reportable affects claim accuracy and compliance. The article helps readers distinguish routine surgical clearance from medically necessary evaluation services tied to a change in the patient’s condition.
What You Will Learn
- How presurgical history and physical services are treated in the surgical coding context
- When a preoperative evaluation and management visit may be separately reportable
- How payer medical-necessity requirements affect reporting of pre-surgery visits
- How same-day decision-for-surgery scenarios relate to evaluation and management reporting
- How routine pre-surgical documentation is generally categorized for billing purposes
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- General surgery coding professionals
- Revenue cycle staff
Codes Discussed
Modifiers Discussed
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