Surgical or other invasive procedure definition

Surgical or other invasive procedure means an operative procedure in which skin or mucous membranes and connective tissue are incised or an instrument is introduced through a natural body orifice. Surgical or other invasive procedures include a range of procedures from minimally invasive dermatological procedures (biopsy, excision, and deep cryotherapy for malignant lesions) to extensive multiorgan transplantation. Surgical or other invasive procedures include all procedures described by the codes in the surgery section of the Current Procedural Terminology (CPT) published by the American Medical Association and other invasive procedures such as percutaneous transluminal angioplasty and cardiac catheterization. Surgical or other invasive procedures include minimally invasive procedures involving biopsies or placement of probes or catheters requiring the entry into a body cavity through a needle or trocar. “Surgical or other invasive procedure” does not include use of instruments such as otoscopes for examinations or very minor procedures such as drawing blood.

Examples of Surgical or other invasive procedure in a sentence

• The primary procedure must be on line 1.ModifiersThe following modifiers are for Provider Preventable Conditions (PPCs) that are National Coverage Determinations (NDCs).PA Surgical or other invasive procedure on wrong body part PB Surgical or other invasive procedure on wrong patient PC Wrong surgery or other invasive procedure on patientFor more information on the use of these modifiers, see Appendix V of your provider manual.

• PA Surgical or other invasive procedure on wrong body partPB Surgical or other invasive procedure on wrong patientPC Wrong surgery or other invasive procedure on patient For more information on the use of these modifiers, see Appendix V of your provider manual.

• OPPCs may occur in any health care setting and are divided into two sub-categories: National Coverage Determinations (NCDs) – The NCDs are mandatory OPPCs under 42 CFR 447.26(b) and consist of the following: Wrong surgical or other invasive procedure performed on a patient; Surgical or other invasive procedure performed on the wrong body part; Surgical or other invasive procedure performed on the wrong patient; For each of a.

• The primary procedure must be on line 1.ModifiersThe following modifiers are for Provider Preventable Conditions (PPCs) that are National Coverage Determinations.PA Surgical or other invasive procedure on wrong body part PB Surgical or other invasive procedure on wrong patient PC Wrong surgery or other invasive procedure on patientFor more information on the use of these modifiers, see Appendix V of your provider manual.

• Modifier Description PA Surgical or other invasive procedure performed on the wrong body part PB Surgical or other invasive procedure performed on the wrong patient PC Wrong surgical or other invasive procedure performed on a patient For more information on the use of these modifiers, please see Appendix V of the MassHealth Community Health Center Manual.

• Other provider-preventable conditions for non-payment are identified as: • Wrong surgical or other invasive procedure performed on a patient; • Surgical or other invasive procedure performed on the wrong body part; • Surgical or other invasive procedure performed on the wrong patient.