Results 1 to 3 of 3

Preoperative H&P

  1. Red face Preoperative H&P
    Exam Training Packages
    If the surgeon sees the 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, is the preoperative H&P billable? Where can I find documentation for this information for my surgeons?
    Example: The surgeon sees the patient on March 1 and makes a decision for surgery. Surgery is scheduled for April 1. The patient returns to the office on March 27 for the H&P, consent signing, and to ask and clarify additional questions. Is the office visit on March 27 billable?

  2. #2
    Milwaukee WI
    Default NO
    There is no medical necessity for the second visit. It is done to streamline the patient's admission at the hospital (so the surgeon doesn't have to waste time doing the H&P, getting consent, etc on the day of surgery). Do not bill that second visit.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    I have done research on this subject about two month ago. What I found is that since there is no medical necessity for this visit-it's not payable. H&P is done because of the guidelines requiring patients to have H&P before each surgery (in general H&P is good for 30days). You can get reimbursement only if the decision for surgery was made on the same day, then you need to append modifier 57. Hope this will help.

Similar Threads

  1. Preoperative visit
    By lak_15 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-10-2012, 01:16 PM
  2. Preoperative H&P Exam by NP or PA
    By obrien44 in forum Outpatient Facilities
    Replies: 0
    Last Post: 09-07-2010, 07:50 AM
  3. Preoperative H & P
    By peabodym in forum Diagnosis Coding
    Replies: 2
    Last Post: 09-02-2010, 08:00 AM
  4. Billing Preoperative H&P
    By BradSW in forum E/M
    Replies: 0
    Last Post: 07-28-2010, 06:56 PM
  5. Preoperative Clearances
    By SueTeal in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 07-09-2009, 01:23 PM

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.