H&P, Pre-op counseling

lapcpc

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Need help w/this scenario -

Surgeon sees patient for an E/M visit and decision for surgery was made. Surgery scheduled for 30 days after this visit with the surgeon. Patient is scheduled for a H&P, pre-op counseling with the PA - the PA discusses the surgery and other physiologies w/the patients diagnosis and answers any and all questions. The surgeon then sees the patient the day of the surgery in the hospital to complete the H&P (which is not billed for as included with surgical package).

The question would be is the PAs' visit billable?????

Thanks,
Lori
 
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I'd say no

I'd say no. There's no medical necessity for a separate office visit before surgery. It's included in the global surgical package.

F Tessa Bartels, CPC, CEMC
 
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