Payment for Co-surgeons in a Method II Critical Access Hospital (CAH)
Physicians and non-physician practitioners billing on type of bill 85X for professional services rendered in a Method II CAH have the option of reassigning their billing rights to the CAH. When the billing rights are reassigned to the Method II CAH, payment is made to the CAH for professional services (revenue codes 96X, 97X or 98X). Medicare makes payment for a co-surgeon when the procedure is authorized for a co-surgeon and the person performing the surgery is a physician. This Change Request implements the reduction in payment for co-surgeon services.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: July 29, 2009
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