You are right about requesting a consultation for co-morbidities. But the original poster specifically stated that this is a "non-Medicare patient with no chronic conditions" (i.e. healthy patient) for which the surgeon is expecting the PCP to perform the H&P. In such a scenario this is NOT a consultation. And it doesn't merit an established visit code either. There is no medical necessity for the PCP to perform this service, which is an integral part of the surgery and for which the surgeon is being paid.
F Tessa Bartels, CPC, CEMC
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