S0260 H&p for surgery
Also known as: H&P, preop eval, surgical clearance
History and physical examination for surgery. Preoperative evaluation by physician including medical assessment prior to surgical procedure.
In Plain Language
surgery checkup; preoperative exam
Clinical Context
Standard preoperative assessment including cardiac, pulmonary, and metabolic evaluation to determine surgical risk and optimize patient for operation. Required prior to elective surgery.
RVU Information
CPT S0260 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
S-codes are used by private payers (not Medicare) for services without a standard CPT or HCPCS code. Coverage varies significantly between insurers. Verify payer acceptance before billing and document medical necessity thoroughly.
Specialties
Frequently Asked Questions
What is CPT code S0260?
CPT S0260 (H&p for surgery) is a S Codes code. History and physical examination for surgery. Preoperative evaluation by physician including medical assessment prior to surgical procedure.
Is S0260 covered by insurance?
S0260 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Standard preoperative assessment including cardiac, pulmonary, and metabolic evaluation to determine surgical risk and optimize patient for operation. Required prior to elective surgery.
When is CPT S0260 used?
Standard preoperative assessment including cardiac, pulmonary, and metabolic evaluation to determine surgical risk and optimize patient for operation. Required prior to elective surgery.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.