Outpatient Surgical Encounters – Multiple Procedures

Billing and Reimbursement
Policy Number: RP-I-010

Last Updated: Sept. 22, 2022

When one or more separately codable surgical procedures are performed in one outpatient surgical encounter please be advised:

  • All applicable surgical CPT procedure codes should be shown on the claim (unless coding rules indicate one or more of the procedures are content of a code that better describes that procedure)
  • When a surgical procedure is performed bilaterally, the CPT surgical procedure code should be shown once on the claim with the appropriate modifier