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Thread: Preoperative H & P

  1. #1
    Join Date
    Apr 2007

    Default Preoperative H & P

    AAPC: Back to School
    Can you bill for a preoperative H & P that is performed by the surgeon performing the surgery regardless of the global period.

    I recently read an article that states if the patient is seen for an H & P by the surgeon this is considered part of the global and should not be billed regardless of when the visit is performed.

    My doctor's normally sees the patient at least a week before the surgery for their H &P. In the past, I was billing an E & M

  2. #2


    For me, it is a codable service. Global period begins 1 day prior to the surgery so he is outside global.

  3. #3
    Join Date
    Apr 2007
    North Carolina


    This subject is always debatable and I would err on the side of caution. There is a CPT Assistant that suggests otherwise...

    CPT Assistant-May 2009

    "If the surgeon sees a patient and makes a decision for surgery and then the patient returns for a visit where the intent of the visit is the preoperative H&P, and this service occurs in the interval between the decision-making visit and the day of surgery, regardless of when the visit occurs (1 day, 3 days, or 2 weeks), the visit is not separately billable as it is included in the surgical package"

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