When was decision for surgery made?
If the decision for surgery was made at a previous visit, then NO, you cannot charge for this service.
If this is part of the visit at which the decision for surgery is made, you may be able to code the entire visit based on time, if more than 50% was spent on counselling/coordination of care. OR, you spend at least 30 minutes over and above your E/M service, you may be able to use the prolonged service codes.
Hope that helps,
F Tessa Bartels, CPC, CEMC