A procedural code signifies that a procedure or service was performed during the same session as another procedure or service. It indicates that the multiple procedures were distinct and independent, necessitating separate reporting to payers. This is often applied when the same surgeon performs multiple procedures through the same incision, or when multiple procedures are performed on the same patient during the same operative session but at different anatomical sites.
This coding practice is essential for accurate billing and reimbursement. It allows healthcare providers to receive appropriate compensation for the additional resources and time involved in performing multiple procedures. Historically, its implementation has evolved alongside changes in healthcare coding and reimbursement policies, adapting to the increasing complexity of medical procedures and the need for precise documentation.
