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 Can Nurse practitioner perform/bill for surgical procedures?


According to CMS, Major surgical procedures (90-day global period) are generally not a covered service when billed by a NPP.     

Minor surgical procedures (10-day global period) are generally covered when billed by an NPP if determined:

  • to be within the usual training of a PA/NP/CNS;
  • that the risk of performing the procedure would be acceptable when provided by a nonphysician practitioner; and
  • that the usual training includes expertise required to make the decision to perform the procedures

Original text is here.


Thanks to Elina Sabilova, CPC, CFPC, CPMA, CMRS.

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October 2018