A lot of our patients in our practice see a PA for their initial visit. If necessary, an MRI is ordered. If surgery is indicated, the patient will come back to meet the physician and on the same day see the PA again for their H&P. I know the H&P is not a billable service since it's global in the pre-op but what about the initial meeting with the MD on the same day as the H&P? Is that billable?