AAPC - Back to school
Results 1 to 2 of 2

Thread: Are H&Ps included in surgical package?

  1. #1

    Default Are H&Ps included in surgical package?

    AAPC: Back to School
    An issue has recently cropped up in which PCPs are stating that we as GS are sending pt's for preop clearance (either with comorbid conditions or PCP preference) and they are not getting paid. The PCPs are stating that the H&P is part of the surgical package and therefore we should be doing the H&P. Does anyone have any info on this and where I can go to verify this? Thanks!!

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Yes

    Yes, an H&P is included in the surgical package. All procedures include an appropriate E/M service the day of or day immediately prior to the surgery. Your reimbursement includes that work. And the general surgeon should perform that service.

    However ... if you have a patient with comorbidity for which the general surgeon requests a consultation from the PCP (or cardiologist or endocrinologist), that physician can and should code out a consultation for the service. If the PCP is having problems being paid it's probably because there is no record of the request for a consultation. Your GS should be sending a simple fax to the PCP requesting the consultation and the reason for same (Example: request consultation on management of DM post surgery)

    Your surgeon will probably STILL have to dictate an H&P to satisfy the hospital.

    And, no, having the patient come into the office 4 days prior for the H&P exam does not make it a billable service.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Surgical Package and E/M
    By dballard2004 in forum E/M
    Replies: 8
    Last Post: 03-08-2011, 06:49 AM
  2. Surgical package
    By thelma in forum Medical Coding General Discussion
    Replies: 22
    Last Post: 06-16-2010, 12:57 PM
  3. Post Op Visits included in Global Package
    By sdfrancis324 in forum Family Practice
    Replies: 1
    Last Post: 05-11-2010, 03:54 PM
  4. Replies: 2
    Last Post: 05-05-2010, 07:32 AM
  5. Consultation visit included in Global Package
    By sdfrancis324 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 04-29-2010, 06:01 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.