Neurology & Pain Management Coding Alert

Question: I understand that I cannot bill for an H&P if there is a global because it is included in the surgery. Can we bill for an H&P if there is no global period for the procedure or service? California Subscriber Answer: You cannot separately bill for the history and physical (H&P) your neurologist performs even for a procedure with a zero-day global period or no global period. Even when there is no global period associated with a code, there is an inherent E/M built into the fee for the code and as such this H&P is not a billable service. Bottom line: Every procedure code's global package includes the preoperative work performed by the physician before the procedure or service. Therefore, unless the E/M service is a significant and separately identifiable E/M, you cannot bill it. Unless the office visit is medically necessary to re-evaluate a condition, such as [...]