My surgeons have been billing office E/M on the same day as surgery if they evaluate them in the offic then take to surgery. I have one that appends a 25 and one that appends a 57. They also see patients in OBS and as IP the day before or the day of surgery. They have been appendeding a 57. My billing company is telling them they can not do that. How else do they get paid for the evaluation and decision for surgery? Most of these patient are new patients.