If the pt is in the hosp and they are having an Acute MI and they are still in the ER, usually a Cardiologist is called in to see the pt, from my end, my docs are usually the admitting doctor, so therefor, you can bill the H&P, you would add a 25 mod to the H&P visit if a procedure like a cath is performed.
Now if they are seen in office and the test is ordered at an office visit for a few days away, you can not bill for the H&P again the day of, unless something other than what the pt was being seen for at the hosp occurs and that changes the pt's status. I don't usually see this happen though, even though it can.
Hope that helps
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