Incentive payments for major surgical procedures furnished in health professional shortage areas
(1) In general
(1)In general#
In the case of major surgical procedures furnished on or after January 1, 2011 , and before January 1, 2016 , by a general surgeon in an area that is designated (under section 254e(a)(1)(A) of this title ) as a health professional shortage area as identified by the Secretary prior to the beginning of the year involved, in addition to the amount of payment that would otherwise be made for such services under this part, there also shall be paid (on a monthly or quarterly basis) an amount equal to 10 percent of the payment amount for the service under this part.
(2)Definitions#
In this subsection:
(A) General surgeon In this subsection, the term “general surgeon” means a physician (as described in section 1395x(r)(1) of this title ) who has designated CMS specialty code 02–General Surgery as their primary specialty code in the physician’s enrollment under section 1395cc(j) of this title .
(B) Major surgical procedures The term “major surgical procedures” means physicians’ services which are surgical procedures for which a 10-day or 90-day global period is used for payment under the fee schedule under section 1395w–4(b) of this title .
(2)(A)General surgeon#
In this subsection, the term “general surgeon” means a physician (as described in section 1395x(r)(1) of this title ) who has designated CMS specialty code 02–General Surgery as their primary specialty code in the physician’s enrollment under section 1395cc(j) of this title .
(2)(B)Major surgical procedures#
The term “major surgical procedures” means physicians’ services which are surgical procedures for which a 10-day or 90-day global period is used for payment under the fee schedule under section 1395w–4(b) of this title .
(3)Coordination with other payments#
The amount of the additional payment for a service under this subsection and subsection (m) shall be determined without regard to any additional payment for the service under subsection (m) and this subsection, respectively. The amount of the additional payment for a service under this subsection and subsection (z) shall be determined without regard to any additional payment for the service under subsection (z) and this subsection, respectively.
(4)Application#
The provisions of paragraph 17 17 So in original. Probably should be “paragraphs”. (2) and (4) of subsection (m) shall apply to the determination of additional payments under this subsection in the same manner as such provisions apply to the determination of additional payments under subsection (m).