Medicare_Claims_Processing_Manual / Chapter_12 / CMS 100-4, 12 §40.2(D)

Why This Topic Matters

This guidance affects how global surgical services are reported when care is split between HPSA and non-HPSA locations, which can influence payment processing and claim review.

Article Sections

1. HPSA Payments for Services Subject to the Global Surgery Rules

   Overview of Medicare policy for HPSA bonus payments in relation to global surgery services. The section explains the general billing framework when services are furnished in shortage areas.

2. Example

   A short illustrative discussion showing how a global surgical service may be billed when portions are furnished in different localities. The example highlights how the policy applies to split services without providing broader coding guidance.

3. Note

   Additional payment context related to geographic adjustments and how separate locality payments compare with the global amount. This note provides background on payment calculations rather than coding instructions.