The AAFP has an entire article complete with algorithm recently (within the last 5 years) addressing this as does Tarrascon's pocket Medicine and pocket Family Medicine books -- in actual practice, the surgeon usually tells the PCP what they need/want, then it's up to you to assess the basics -- cardiovascular/pulmonary and any other special things for your particular patient -- and you are NEVER giving "clearance" -- you are stating that the patient presents an average or above average risk for the proposed surgery or stating that they need to be seen by (insert specialist here) for their opinion before proceeding with the proposed surgery. It's usually billed as a 15 minute office consult, NOT a 99213/99214/99202/99203 code....



your mileage may vary, no warranties expressed or implied, car driven by a professional driver on a closed track.....