tci Part B Insider - 2013 Issue 21

Pre-Op Visit Reporting: Look to E/M Codes and 'V' Codes to Collect for Your Preoperative Clearance Visits

Z01.818 will be your friend under ICD-10 when you perform preop visits. If a surgeon performs a preoperative visit with a patient the day before he does surgery on her, that visit is included in the surgical global fee. But if the surgeon sends the patient to a different physician for surgical clearance, that physician’s coding options have typically been limited to E/M codes linked to V codes for diagnoses. However, that option will change drastically under ICD-10 next year, forcing you to move to Z codes for these visits. Example: Suppose a Medicare patient with COPD...

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