Awareness : OBC Tips

Overlapping Surgical Procedures

When the teaching surgeon is involved in two overlapping surgeries, where the key portions of the surgery do not overlap, he or she must be physically present during the key portions of both procedures. All of the key portions of the first procedure must be completed before the teaching surgeon can become involved in the second procedure.

If the teaching surgeon leaves the operating room to become involved in another case, he or she must arrange for another qualified surgeon to be immediately available to intervene in the original case, if necessary. The teaching surgeon must be in the operating room for the “key and critical portions” of the two concurrent surgeries and personally document his or her presence and participation of the key portions of both procedures.

In the case of three or more concurrent surgical procedures, the teaching physician’s role is classified as supervisory and may not be billed.