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December 2016 Texas Medicaid Provider Procedures Manual

Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook : 9 Physician : 9.2 Services, Benefits, Limitations, and Prior Authorization : 9.2.69 Surgery Billing Guidelines

A primary surgeon may be reimbursed for services provided in the inpatient hospital, outpatient hospital setting, and ASC/HASC Center.
A surgeon billing for a surgery and an assistant surgery fee on the same day may be reimbursed if two separate procedures are performed.
Refer to:

Texas Medicaid & Healthcare Partnership
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