The surgeons at my practice want to bill for their H&P's (obviously) , as they have in the past. What I've been taught through seminars is that the language in CPT was changed in 2002 to state that one E/M is included in the global surgery. Medicare I've been told clarifies that the H&P is included in surgery payment. Oregon administrative rules for workers comp specifically states that you cannot bill for a preoperative exam. Unfortunately the wording in the CPT seems unclear to me, and I can't even find where it is written in stone by other insurance companies other than workers comp that you cannot bill for the H&P. Anyone have any insight into this?