Can the doctor that is doing the surgery bill an E/M code for an Office Visit if the patient comes in 2-3weeks before surgery to see him to have the surgical H&P done? Or is that H&P (even though it is 2-3 weeks before surgery) included in the surgical package? If an E/M code can be used to bill for this Office Visit do you need to have a seperate H&P and Office note dictated?