Billing Additional Pre-op Visit

Question:

Our surgeon placed a patient on the OR schedule as an inpatient case. The surgery was elective and not an emergency case. The patient’s case was canceled because our hospital limited inpatient elective OR cases due to the spike in COVID 19 cases in our area.

The patient is now being rescheduled. The surgeon will bring the patient back to evaluate the patient, verify that the patient is still a surgical candidate and order all labs, including the hospital required COVID testing. Is this second encounter reportable even though it’s another pre-op visit?

Answer:

Yes, this would not be considered a ‘second’ pre-op visit as the prior planned surgery was canceled.

 
 
KZA - Orthopaedics - Coding Coach
 
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