AAPC - Back to school
Results 1 to 2 of 2

Thread: Pre-Op History and Physical

  1. #1

    Default Pre-Op History and Physical

    AAPC: Back to School
    Is it normal for a pre-op history and physical to be scheduled for two weeks prior to an arthroscopic surgery and be billed as a separate e/m visit? Here is the scenario that we are dealing with:
    Decision for surgery is made during an office visit and the surgery is scheduled the following month and a level four or five office visit is billed.
    A pre-op history and physical performed by the surgeon takes place at the location of the surgery approximately two weeks prior to the surgery and the insurance company is billed for a level five office visit.
    I know that the guidelines state pre-op care should be included in the global surgical package for the day before or day of surgery, but is the surgeon circumventing the surgical package by scheduling the pre-op visit so far in advance? I appreciate any help I can get with this!

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default No - see Ortho forum

    Should not be billed - see my complete answer in the Ortho forum.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. History and physical coding
    By skolman in forum E/M
    Replies: 1
    Last Post: 09-04-2013, 01:51 PM
  2. History and Physical
    By LStana in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 05-14-2013, 06:49 AM
  3. History and Physical
    By karirhi in forum General Surgery
    Replies: 2
    Last Post: 05-23-2012, 06:44 AM
  4. Pre-Op History and Physical
    By CMMORSE in forum Orthopaedics
    Replies: 3
    Last Post: 03-17-2010, 11:07 AM
  5. Pre-Op History and Physical
    By CMMORSE in forum E/M
    Replies: 1
    Last Post: 03-16-2010, 09:56 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.