Gary sees Dr. G on Monday regarding his atrial fibrillation. Gary is a new patient, and Dr. G performs a medically appropriate history and examination, and moderate medical decision making. Dr. G decides to insert a permanent dual-chamber pacemaker. The pacemaker is inserted on Tuesday. Dr. G sees Gary in the hospital on Wednesday and discharges Gary on Thursday. Which of the following is the correct coding of Gary's visits and procedures for Monday through Thursday?

Question

Quizplus · Accepted Answer

The correct coding includes 99204 for the new patient office visit with a medically appropriate history, examination, and moderate medical decision making. The modifier -57 is used with 99204 to indicate that the decision for surgery was made during this visit. The code 33208 is used for the insertion of a dual-chamber pacemaker. The subsequent hospital visits on Wednesday and the discharge on Thursday are included in the global surgical package for the pacemaker insertion and do not require separate billing.

Gary Sees Dr