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pre-op physical

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So in my schedule this am I see someone who has never been in my office for a " preop c5-c6 surgery infusion " which I assume is a c5-c6 fusion.  Patient is 43 and I have no records at all on this patient.While I suppose some doctors do provide pre-op evaluations for some patients, as a pcp I'm a bit confused--I have heard many different stories on the subject so I thought I would ask the group-just what is the insurance definition of a pre-op physical and what are you suppose to get paid?

But what if you never saw the patient before and its a " new " patient and a 1st visit?I have been told to just bill as a level 3 consult (usually established patient) to the surgeon/specialist in question.  But does that sound accurate?

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