Forum - Questions & Answers

Oct 8th, 2010 - p367643

H & P and Time frame question

Pre-admit (History& Physical) performed at one location for an interventional radiology procedure performed at another location billable? sources

Answer- yes ( if not screening or on healthy patient w/o comobidity and
& not a standing order/ process- must have medical necessity)- right?

Time frame requirement for H&P (History & Physical) ie… “ pre – admits”? sources
answer - 24 hours and 30 days right?

Thank you,

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Oct 8th, 2010 -


can't quite tell what you are asking.

If the facility requires an H&P by a primary doctor prior to a procedure and the patient has no medical problems, I bill the reason for the procedure and V72.84 with a consultation CPT code for commercial insurance. Medicare will not cover these exams but if forced to do it I bill 99213 and the same ICD codes.

The facility rules and JC determine the time frames. 30 days is usual and the doctor performing the procedure must sign that H&P just prior to the procedure stating there is no change in condition.

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Oct 8th, 2010 - jschmutz   323 

Pre-surgical H&P

Pre-surgical H&P's are included in the surgical procedure and cannot be billed separately.

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Oct 8th, 2010 -

H& p

good answer

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