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.