It depends primarily on the insurance carrier and what their guidelines are. If you read your guidelines in your CPT book for Surgery, one related E/M encounter on the date immediately prior to or on the date of the procedure is included in the surgery package. So if it was 1 week prior, you should be able to bill for an E/M level. As a practice manager I made this E/M part of our package and did not charge a seperate fee to avoid any potential take backs from any insurance company.
Hope this helps.
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