Wiki preop visits

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Just to clarify - pre-op exams for H&P by the surgeon are included in the global surgery package if they are done after the decision for surgery visit.
If "preop visits" means medical clearance by PCP or specialist (cardio, endo, pulm, etc.), the other physicians not involved in surgery are entitled to be compensated for their work and may bill at whatever appropriate level was performed.

NAMAS had a good article discussing this recently and provided some good AMA CPT Assistant references:
Example:
Hospitals require that we do an H&P within 30 days of taking a patient to the OR. If this visit is more than 48 hours prior to surgery, is that a billable visit?
Answer:
No, the H&P, in this case, is not a billable visit. This question comes up often and was addressed by AMA CPT® Assistant® in the following excerpt:
“If the decision for surgery occurs the day of or before the major procedure and includes the preoperative evaluation and management (E/M) services, then this visit is separately reportable. Modifier 57, Decision for Surgery, is appended to the E/M code to indicate this is the decision-making service, not the history and physical (H&P) alone. 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, regardless of when the visit occurs (1 day, 3 days or 2 weeks) the visit is not separately billable as it is included in the surgical package.
 
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