OPINION
Appellant, Casey Hunsucker, appeals an order dismissing her suit against appel-lees, Abdel K. Fustok, M.D. and his professional association, Abdel K. Fustok, M.D., P.A. (hereinafter referred to as “Dr. Fustok”). In three issues, Hunsucker argues: (1) that the trial court erred in dismissing her suit with prejudice pursuant to section 13.01(e) of former article 4590i 1 for failing to file an expert report as *424 required by section 13.01(d); (2) that the award of attorney’s fees was erroneous; and (3) that the trial court should have permitted Hunsucker to comply with section 13.01(d) after finding that it was a necessary step for her suit to proceed.
In one cross-point, appellees, Abdel K. Fustok, M.D. and his professional association, Abdel K. Fustok, M.D., P.A., argue that the trial court abused its discretion in failing to award attorney’s fees for appeal.
We modify the order of the trial court to award appellate attorney’s fees in favor of the appellees and affirm the order that dismissed appellant’s claims as modified.
Background
In late December 1999, Hunsucker met with Dr. Fustok to discuss breast implant surgery. Hunsucker had had previous breast implant surgery and became concerned about the appearance of her breasts. Dr. Fustok stated that there was a possibility that both her implants had leaked and recommended that the implants be replaced. Hunsucker alleges she told Dr. Fustok that she did not want the surgery performed peri-areolar (through the nipple/areola) and that Dr. Fustok agreed to insert the new implants sub-mammary (underneath the breast).
On March 16, 2000, Dr. Fustok performed surgery on Hunsucker. Rather than inserting the new implants submam-mary, he reinserted the old implants peri-areolar. Following the surgery, Hunsucker was dissatisfied with the results and claims she has lost all feeling around the nipple/areola area as a result of the surgery performed by Dr. Fustok.
Hunsucker filed her original petition on May 30, 2002, based on two theories: (1) negligence and gross negligence and (2) fraud, fraudulent inducement, and breach of contract. On November 13, 2002, instead of filing an expert report within 90 days of filing suit, Hunsucker opted to file two separate cost bonds in the amount of $5,000 each, as allowed by section 13.01(a) of former article 4590L 2 On April 3, 2003, Dr. Fustok filed a motion to dismiss and to award sanctions based on Hunsucker’s failure to file an expert report within 180 days of filing suit, as mandated by section 13.01(d) of former article 4590i, 3 and on *425 her failure to meet an extended deadline requiring that the expert report be filed 30 days after the deposition of Dr. Fustok.
On April 11, 2003, Hunsucker filed a response to Dr. Fustok’s motion to dismiss and for sanctions, claiming that only her negligence claim fell within the ambit of section 4590i and that she voluntarily non-suited the negligence claim, as was reflected in her amended petition filed that same day. Hunsucker’s factual allegations in her amended petition were substantially the same as in her original petition, but the negligence theory had been deleted and a claim for assault and battery had been added. On June 23, 2003, the trial court denied Dr. Fustok’s motion to dismiss and request for sanctions.
The parties filed a joint motion to abate on January 5, 2005 because a petition for review was pending in
Russell v. Murphy,
On July 5, 2005, Dr. Fustok filed his first amended motion to dismiss. On December 23, 2005, the trial court granted Dr. Fustok’s amended motion to dismiss with prejudice, citing the supreme court’s decision in Murphy v. Russell, and ordered Hunsucker to pay Dr. Fustok $5,000 as reasonable attorney’s fees. The court later amended its final order on February 2, 2006 and ordered that Hunsucker pay $9,540 in reasonable attorney’s fees and that the two separate cost bonds of $5,000 each be forfeited. This appeal followed.
Standard of Review
We review a trial court’s article 4590i section 13.01 rulings under an abuse of discretion standard.
Walker v. Gutierrez,
4590i Provisions
Former article 4590i and its expert report requirements apply to a patient’s claims when those claims come within the statutory definition of a “health care liability claim,” regardless of whether they are tort or contract claims.
Murphy,
a cause of action against a health care provider or physician for treatment, lack of treatment, or other claimed departure from accepted standards of medical care or health care safety which proximately *426 results in injury to or death of the patient, whether the patient’s claim or cause of action sounds in tort or contract.
M 4
The term “physician” is defined as “a person licensed to practice medicine in this state.”
5
The term “health care” is defined as “any act or treatment performed or furnished, or which should have been performed or furnished, by any health care provider for, to, or on behalf of a patient during the patient’s medical care, treatment, or confinement.”
6
Murphy,
Section 13.01(d) of former article 4590i provides that, in every suit in which a health care liability claim is asserted, an expert report must be filed within 180 days after the suit is filed. 7 Failure to comply with section 13.01(d)’s requirements will result in the consequences provided for in section 13.01(e) of former article 4590L 8
Applicability of 4590i
Hunsucker contends that her claims do not fall within the ambit of former article 4590i because she “did not plead a cause of action requiring the analysis of any standard of care” and thus her claims are not health care liability claims. Rather, Hun-sucker argues that Dr. Fustok defrauded her, breached an express warranty, and assaulted her by performing her surgery peri-areolar when the parties had expressly agreed on submammary surgery. Hun-sucker attempts to characterize her claims as falling outside 4590i by asserting common-law fraud, breach of warranty, and tort claims.
It is well established “that a claimant cannot escape the Legislature’s statutory scheme by artful pleading.”
Murphy,
In Murphy, the appellee sued an anesthesiologist for allegedly administering a general anesthetic when it had been expressly agreed by the parties that only a local anesthetic would be used, and she asserted claims for battery, breach of contract, and violations of the Deceptive Trade Practices Act (DTPA). 167 S.W.3d *427 at 836-37. The Texas Supreme Court dismissed appellee’s suit for failure to comply with the expert report requirements of 4590i, holding that the report was necessary in order for the suit to proceed. Id. at 838-39.
The Texas Supreme Court held that 4590i’s expert report requirement establishes a threshold requirement that a claimant in a health care liability claim must satisfy to continue a lawsuit.
Hunsucker argues that the decision in Murphy does not affect her claims in that the Murphy court stated that the appellee needed an expert in her case because “[i]t might be that there were emergency circumstances that arguably warranted general anesthesia without [her] consent, or that a general anesthetic was administered without Murphy’s actual knowledge at the time it was done.” Id. at 839 (emphasis added). Essentially, Hunsucker tries to argue that the court narrowly held that an expert report was necessary in Murphy because an expert witness was needed to testify as to possible emergency circumstances that made the usage of a general anesthetic necessary.
Hunsucker misconstrues the court’s holding. The Murphy court held that expert testimony may or may not be necessary at trial but that the expert report is always necessary at the discovery phase for a health care liability claim even to proceed to trial. See id. at 838-39. The issue we are confronted with here is identical to the issue presented in Murphy, that is, whether Hunsucker may proceed with her claim against Dr. Fustok without filing an expert report as required by former article 4590i, not whether expert testimony will ultimately be needed at trial. See id. at 838.
In a supplemental brief, Hunsucker urges this court to consider
Mills v. Pate,
in which Mills sued Dr. Pate following liposuction and thigh lift surgery that caused her skin to sag severely.
Dr. Pate filed a traditional motion for partial summary judgment with regard to Mills’s consent claims, arguing that the claims were barred by the two-year statute of limitations contained in section 10.01 of former article 4590i, and an amended “no-evidence” motion for partial summary judgment, alleging that there was no evidence to support the essential elements of Mills’s remaining claims. Id. at 283. The trial court granted both of Dr. Pate’s motions for partial summary judgment. Id. The court of appeals held that the trial court had erred in granting a no-evidence summary judgment as to Mills’s breach of express warranty claim, finding that she had presented some probative evidence to support her common-law claim. Id. at 291. *428 The Mills court held that although Mills’s claims arose out of the patient-client relationship, they were not inseparable from her negligence claims and therefore did not require a determination as to whether Dr. Pate failed to meet the accepted standard of medical care. Id. at 290. The Mills court relied heavily for its holding on Sorokolit, upon which Hunsucker also relies.
In
Sorokolit,
a patient sued a plastic surgeon under the DTPA, alleging breach of implied warranties and misrepresentations after seeing Dr. Sorokolit for breast augmentation surgery.
The facts of Hunsucker’s case are distinguishable from Sorokolit and Mills, in that Hunsucker’s claims arise from an agreement between the parties that her surgery would be performed in a particular manner. Dr. Fustok did not promise Hun-sucker a particular result, as the physician did in Sorokolit and Mills. Furthermore, the court in Sorokolit did not decide whether an expert report was necessary because that provision of former article 4590i was not enacted until 1995, one year after the Sorokolit decision.
The facts in this case are more analogous to the facts in
Murphy,
in which the patient was given a general anesthetic after having specifically requested a local anesthetic.
In looking at the underlying nature of Hunsucker’s claim that Dr. Fustok performed a surgical procedure in a manner that the parties had agreed
not
to use, we conclude that the claim is inseparable from the rendition of health care services and, as such, is a health care liability claim.
See Garland Cmty. Hosp.,
We overrule Hunsucker’s first issue on appeal.
Award of Attorney’s Fees
In her second issue on appeal, Hunsucker contends the trial court erred in awarding Dr. Fustok attorney’s fees. The only argument Hunsucker asserts in support of this point is that the trial court erred in finding that she failed to comply with former article 4590i because her claim did not fall within the meaning of a health care liability claim and, therefore, she was not required to file an expert report. Having held that the trial court properly found that Hunsucker’s claims were health care liability claims, we determine that an award of reasonable attorney’s fees pursuant to section 13.01(e) of former article 4590i was appropriate.
In the alternative, Hunsucker argues that if this court finds that Murphy changed her claims into health care liability claims, then the appropriate amount to be awarded would be reasonable attorney’s fees incurred after the Texas Supreme Court issued Murphy. 13 We disagree.
First,
Murphy
did not change Hunsucker’s claims into health care liability claims. Rather,
Murphy
clarified that health care liability claims and claims under some other theory, such as the DTPA or breach of contract, are not mutually exclusive; meaning that claims may be both.
See Murphy,
Here, no matter how Hunsucker attempts to characterize her claims, they are inseparable from Dr. Fustok’s rendition of medical services and, as such, were the type of claims characterized as health care liability claims by Texas courts, including the Texas Supreme Court, even before the Texas Supreme Court issued Murphy.
Hunsucker further contends that the trial court was without authority to bind the two $5,000 bonds because they were effectively discharged when the trial court denied Dr. Fustok’s April 2003 motion to dismiss. Hunsucker concludes that the reason the trial court denied Dr. Fustok’s first motion to dismiss was that it had found that no health care liability claim existed and therefore it was error for the trial court to order the bonds forfeited in its amended final order. 14 The appellate record does not indicate why the trial court denied Dr. Fustok’s 2003 motion to dismiss. The trial court was well within its discretion, and was statutorily required, to order the bonds forfeited. 15
We overrule Hunsucker’s second issue on appeal.
Allowance for Compliance
In her third issue on appeal, Hun-sucker contends the trial court erred in refusing to allow her to comply with the expert-report requirements after finding that she had to comply with 4590L Hun-sucker once again argues that the trial court changed its position on whether or not her claims were health care liability claims, as evidenced by the trial court’s denial of Dr. Fustok’s 2003 motion to dismiss and the granting of his 2005 motion to dismiss. However, nothing in the record supports Hunsucker’s conclusion.
Under section 13.01(g) of former article 4590i, the court may grant a 30-day grace period only if it finds that the failure to comply was by accident or mistake.
16
We review a trial court’s decision not to grant a claimant a grace period to file an expert report under an abuse of discretion standard.
Sandles v. Howerton,
In determining whether a claimant acted intentionally or with conscious indifference, we look to the claimant’s knowledge or acts.
Sandles,
163
*431
S.W.3d at 837 (citing
Horsley-Layman v. Angeles,
Hunsucker does not claim that her failure to comply with the expert report requirements was due to accident or mistake. Thus, the trial court was well within its discretion and authorized by statute to deny any extension. 17
We overrule Hunsucker’s third issue on appeal.
Appellate Attorney’s Fees
In his sole cross-point, Dr. Fustok appeals the trial court’s denial of his request for attorney’s fees on appeal. The general rule is that a trial court’s award of attorney’s fees may include appellate attorney’s fees.
Neal v. SMC Corp.,
Dr. Fustok urges us to hold that the trial court abused its discretion in not awarding appellate attorney’s fees by relying on
Hoelscher v. Kilman,
No. 03-04-00440-CV,
In
Hoelscher,
the court found that the trial court abused its discretion in denying appellate attorney’s fees because there was uncontroverted testimony by the appellee’s attorney at trial on the reasonableness of the requested appellate attorney fees.
In
Ragsdale,
a candidate was awarded injunctive relief for alleged violations of election laws, but was denied attorney’s fees.
In
Lee,
a commercial lessee sued a landlord for breach of implied warranty of suitability for commercial purpose and negligent misrepresentation.
Here, Dr. Fustok’s counsel filed a supplemental affidavit with his reply to Hunsucker’s response to Dr. Fustok’s initial motion to dismiss and motion for sanctions, filed April 17, 2003. In the affidavit, Dr. Fustok’s counsel swore to the attorney’s fees that had been incurred up to the date of the affidavit and to reasonable attorney’s fees anticipated on appeal: $10,000 for appeal to the court of appeals, $5,000 if the plaintiff petitioned to the supreme court for review, and an additional $15,000 should the supreme court grant review. Dr. Fustok’s initial motion was denied. The same affidavit was filed with Dr. Fustok’s first amended motion to dismiss and for sanctions, filed on July 5, 2005. The trial court granted this motion to dismiss. At no time did Hunsucker file a counter-affidavit. See Tex. Civ. PRAc. & Rem.Code Ann. § 18.001 (Vernon 1997). The trial court crossed out the portion of the amended final order that awarded appellate attorney’s fees without any stated reason.
Section 18.001 of the Texas Civil Practice and Remedies Code provides that, unless a controverting affidavit is filed, an affidavit as to the amount of attorney’s fees will be presumed reasonable.
See id.
The statute also stipulates that a party intending to controvert a claim reflected in the affidavit must file a counter-affidavit no later than 30 days after receipt of the affidavit.
Id.
Here, Dr. Fustok presented uncontroverted evidence as to reasonable attorney’s fees. The amount requested for appellate attorney’s fees was clear, direct, positive, and could have been readily controverted if the amount was not reasonable.
See Ragsdale,
We sustain Dr. Fustok’s sole cross-point on appeal. We modify the trial court’s judgment in accordance with the uncontested evidence to add $10,000 for attorney’s fees in this appeal, $5,000 in the event a petition to the supreme court is filed, and $15,000 in the event the supreme court grants the petition.
See Lee,
Conclusion
We modify the order of the trial court to award appellate attorney’s fees in favor of the appellees and, as modified, affirm the order that dismissed appellant’s claims.
Notes
. See Act of May 5, 1995, 74th Leg., R.S., ch. 140, § 1, sec. 13.01, 1995 Tex. Gen. Laws 985, 986, repealed and recodified as amended by Act of June 2, 2003, 78th Leg., R.S., ch. 204, §§ 10.01, 10.09, 2003 Tex. Gen. Laws 847, 886, 884 (current version at Tex. Civ. Prac. & Rem.Code Ann. § 74.001-.507 (Vernon 2005 & Supp.2006)) [hereinafter referred to as former Tex.Rev.Civ. Stat. Ann. art. 4590i § 13.01],
Section 13.01(e) provides:
If a claimant has failed, for any defendant physician or health care provider, to comply with Subsection (d) of this section within the time required, the court shall, on the motion of the affected physician or health care provider, enter an order awarding as sanctions against the claimant or the claimant’s attorney:
(1) the reasonable attorney's fees and costs of court incurred by that defendant;
*424 (2) the forfeiture of any cost bond respecting the .claimant’s claims against that defendant to the extent necessary to pay the award; and
(3) the dismissal of the action of the claimant against that defendant with prejudice to the claim’s refiling.
Id. § 13.01(e).
. Section 13.01(a) provides:
In a health care liability claim, a claimant shall, not later than the 90th day after the claim is filed:
(1) file a separate cost bond in the amount of $5,000 for each physician or health care provider named by the claimant in the action;
(2) place cash in an escrow account in the amount of $5,000 for each physician or health care provider named in the action; or
(3) file an expert report for each physician or health care provider with respect to whom a cost bond has not been filed and cash in lieu of the bond has not been deposited under Subdivision (1) or (2) of this subsection.
Former Tex.Rev.Civ. Stat. Ann art. 4590i § 13.01(a).
. Section 13.01(d) provides:
Not later than the later of the 180th day after the date on which a healthcare liability claim is filed or the last day of any extended period established under Subsection (f) or (h) of this section, the claimant shall, for each physician or health care provider against whom a claim is asserted:
(1) furnish to counsel for each physician or health care provider one or more expert reports, with a curriculum vitae of each expert listed in the report; or
(2) voluntarily nonsuit the action against the physician or health care provider.
*425 Former Tex.Rev.Civ. Stat. Ann. art. 4590i § 13.01(d).
.Medical Liability and Insurance Improvement Act, 65th Leg., R.S., ch. 817, § 1.03(a)(4), 1977 Tex. Gen. Laws 2039, 2041, repealed by Act of June 2, 2003, 78th Leg., R.S., ch. 204, § 10.09, 2003 Tex. Gen. Laws 847, 884 (current version at Tex. Civ. Prac. & Rem.Code Ann. § 74.001(a)(13)) [hereinafter former Tex.Rev.Civ. Stat. Ann. art. 4590i §§ 1.03, 12.01],
. Id. § 1.03(a)(8) (current version at Tex. Civ. Prac. & Rem.Code Ann. § 74.001(a)(23)).
. Id. § 1.03(a)(2) (current version at Tex. Civ. Prac. & Rem.Code Ann. § 74.001(a)(10)).
. Former Tex.Rev.Civ. Stat. Ann. art. 4590i § 13.01(d).
.Id. § 13.01(e).
. Former section 12.01(a) provided:
Notwithstanding any other law, no provisions of Sections 17.41-17.63, Business & Commerce Code, shall apply to physicians or health care providers as defined in Section 1.03(3) of this Act, with respect to claims for damages for personal injury or death resulting, or alleged to have resulted, from negligence on the part of any physician, or health care provider.
Former Tex.Rev.Civ. Stat. Ann. art 4590i § 12.01 (current version at Tex. Civ. Prac. & Rem.Code Ann. § 74.004).
. See former Tex.Rev.Civ. Stat. Ann. art 4590i § 13.01.
. Former TexRev.Civ. Stat. Ann. art. 4590Í § 13.01(d).
. See id. % 13.01(e).
. Hunsucker cites no authority for this contention. See TexR.App. P. 38.1(h).
. Hunsucker cites no authority for this proposition. See TexR.App. P. 38.1(h).
. See former Tex.Rev.Civ. Stat. Ann. art. 4590i § 13.01(e).
. Section 13.01(g) provides:
Notwithstanding any other provision of this section, if a claimant has failed to comply with a deadline established by Subsection (d) of this section and after the hearing the court finds that the failure of the claimant or the claimant's attorney was not intentional or the result of conscious indifference but was the result of an accident or mistake, the court shall grant a grace period of 30 days to permit the claimant to comply with that subsection. A motion by a claimant for relief under this subsection shall be considered timely if it is filed before any hearing on a motion by a defendant under Subsection (e) of this section.
Former Tex.Rev.Civ. Stat. Ann. Art. 4590Í § 13.01(g).
. See Tex.Rev.Civ. Stat. Ann. art. 4590i § 13.01(g).
