You bill the service on the day it was provided.
There is no "H&P" in the CPT manual. Initial Hospital Visit is coded based on documentation of the initial visit with a inpatient made IN the hospital.
An H&P is a hospital/facility requirement.
If your doctor has examined the patient in the office in advance of admission then you will code the appropriate office visit ... IF that visit is the decision for surgery. If you decided a month ago that the patient needed knee surgery (for example), and you bring the patient back to the office three days before surgery to complete the H&P, you cannot bill for that second office visit. It is global to the surgery.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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