AAHKS and AAOS have published an article addressing billing for the presurgical period that has developed in the evolving model of care related to patient optimization. As the article states, “many of the steps now required for presurgical decision making and patient optimization are not represented by the term “history and physical” and are not included in the definitions of the global surgical package. With changes in the delivery of care, it is reasonable and appropriate for physicians and QHPs to report optimization services using existing CPT codes in the presurgical period.” The table below provides an overview and for details, read the article and utilize our quick reference guide.

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