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Thread: H&P, Pre-op counseling

  1. #1
    Join Date
    Apr 2007

    Cool H&P, Pre-op counseling

    AAPC: Back to School
    Need help w/this scenario -

    Surgeon sees patient for an E/M visit and decision for surgery was made. Surgery scheduled for 30 days after this visit with the surgeon. Patient is scheduled for a H&P, pre-op counseling with the PA - the PA discusses the surgery and other physiologies w/the patients diagnosis and answers any and all questions. The surgeon then sees the patient the day of the surgery in the hospital to complete the H&P (which is not billed for as included with surgical package).

    The question would be is the PAs' visit billable?????


  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default I'd say no

    I'd say no. There's no medical necessity for a separate office visit before surgery. It's included in the global surgical package.

    F Tessa Bartels, CPC, CEMC

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