tci General Surgery Coding Alert - 2000 Issue 12

Reader Question: Presurgical H&P

Question: Can we charge for a preoperative visit when a history and physical (H&P) for surgical clearance is performed before surgery? If so, what code do we use?Maine SubscriberAnswer: If the clearance you are speaking of is actually the preparation of the H&P that is required by the hospital prior to surgery, the service is included in the global fee for the procedure and is not billable separately. But the H&P may be separately billed when it occurs more than 24 hours ahead of the surgery and satisfies Medicares medical-necessity requirements. In such cases, it...

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