Surgery Billing Services

CodeCure delivers specialized surgery billing solutions that help surgical practices and hospital-based surgeons reduce claim errors, accelerate reimbursements, and maintain steady cash flow. Our services also remove the heavy administrative workload from your team, giving you more time to focus on delivering successful surgical outcomes for your patients.

Surgery Billing:

Why Precision Is Critical

Surgical billing involves complex coding, global surgical packages, and strict payer documentation requirements. Each procedure must be billed accurately to include pre-operative, intra-operative, and post-operative care. For many practices, managing this process while maintaining compliance is time-consuming and prone to errors.

Outsourcing to a specialized RCM partner like CodeCure ensures correct code usage, thorough documentation, and timely submissions, helping you maximize reimbursement while focusing on patient care.

< 30

Days in AR

20–30%

Revenue Increase

97%

First Pass Ratio

96%

Collection Ratios

98%

Clean Claims Rate

We offer tailored billing solutions for all surgical specialties, including:

General surgery practices
Orthopedic surgery centers
Cardiothoracic surgery units
Neurosurgery practices
Plastic and reconstructive surgery centers
ENT and head & neck surgery
Ophthalmic surgery practices
Urologic and colorectal surgery
Minimally invasive and laparoscopic procedures
Outpatient ambulatory surgery centers (ASCs)
Other surgical subspecialties

We Understand Surgical Billing Codes Best

Surgery billing requires mastery of CPT, ICD-10, and HCPCS codes, along with modifier use and global surgical package rules. Our certified coders ensure claims are compliant and optimized for payment.

Global Surgical Package Codes

Accurate coding for bundled pre-op, procedure, and post-op care.

Modifier Application

Correct use of modifiers like -51, -58, and -78 to avoid denials.

Inpatient & Outpatient Surgery Codes

Proper billing for hospital and ASC procedures.

Assistant Surgeon & Co-Surgeon Codes

PrecisAccurate coding for multiple surgeon involvement.e billing for ECGs, spirometry, and lab tests reduces rejections.

Pre-Authorizations

Comprehensive handling of pre-approvals for high-cost surgical procedures.

Surgery Billing Challenges

Global Period Management

Tracking bundled services to avoid missed charges or double billing.

Complex Modifier Rules

Incorrect modifier use is a leading cause of surgical claim denials.

Medical Necessity Proof

Payers require detailed operative notes and diagnostic justification.

Prior Authorization Delays

Many surgeries require pre-approvals, which can delay scheduling and payment.

Multiple Provider Billing

Coordinating billing for surgeons, anesthesiologists, and assistants without overlap.

We Follow the Best Surgery Billing Practices

Training & Education

We manage your billing while training your staff on surgical documentation and compliance.

Communication with Payers

We work directly with insurers to clarify rules and prevent claim delays.

24/7 Support

Our billing specialists are available anytime to resolve urgent billing concerns.

Technology Integration

We use claim scrubbers to catch coding errors and ensure HIPAA-compliant data security.

Real-Time Reporting

Our dashboards provide visibility into claims, collections, and revenue trends.

Complete Billing, Coding & Practice Support

CODING

Surgical billing depends heavily on the correct use of CPT procedure codes, ICD-10 diagnoses, and global surgical package rules. Our certified coders specialize in general surgery billing and coding services, ensuring compliance and precise coding for both inpatient and outpatient procedures.

  • Accurate bundling of pre-op, intra-op, and post-op care.
  • Applied correctly to reflect assistant surgeons, staged procedures, or repeat surgeries.
  • Neurosurgery, cardiothoracic, orthopedic, and reconstructive coding.
  • Proper linkage with general surgery medical codes for imaging, pathology, and lab work.

RCM

Our surgery billing services cover every stage of the revenue cycle, ensuring your practice gets paid faster and more consistently. Our RCM expertise includes:

  • Confirming coverage and approvals before surgeries to prevent payment delays.
  • Making sure every procedure, assistant fee, and follow-up visit is billed.
  • Aggressively appealing denials related to modifiers, medical necessity, and global package confusion.
  • Customized dashboards track surgical revenue trends, payer performance, and collections.

CREDENTIALING

Credentialing is a major challenge for surgical practices. CodeCure offers end-to-end credentialing support to ensure your providers are enrolled and reimbursed without delays. Our credentialing solutions include:

  • Payer enrollment for surgeons across specialties
  • CAQH, PECOS, and NPI management
  • Hospital and ASC privileging assistance
  • Compliance and re-credentialing tracking

EHR

We help surgical practices optimize their general surgery EMR/EHR systems for smooth documentation and billing. Our solutions ensure that clinical notes flow directly into the billing process, minimizing errors and delays. Key benefits include:

  • Built for operative notes, pre-op assessments, and post-op follow-ups.
  • Integrated prompts for general surgery medical codes and modifier usage.
  • Compatible with both outpatient and inpatient systems.
  • Automated alerts for global package overlaps and HIPAA rules.

PRACTICE MANAGEMENT

Running a surgical practice requires balancing patient care, staff coordination, and financial management. CodeCure supports your operations with end-to-end surgical practice management solutions that complement our billing expertise. We provide:

  • Reducing cancellations and improving OR utilization.
  • Improving recovery from self-pay patients and reducing bad debt.
  • For hospital-affiliated surgeons and ambulatory surgery centers.
  • Reports on profitability per surgery type and payer performance.
  • Education on surgical documentation, coding, and billing updates.

CodeCure is Your Surgery Billing Partner!

Let us manage your revenue cycle while you focus on successful patient outcomes.

Frequently Asked Questions (FAQs)

What makes CodeCure the best choice for surgery billing services?

We specialize in surgical coding, modifier accuracy, and global package management, ensuring faster payments and fewer denials.

How much does outsourcing surgery billing to CodeCure cost?

Our rates typically range from 2% to 5% of monthly collections. As an introductory offer, we provide the first month at a flat 1% of collections.

What is the biggest challenge in surgery billing?

Managing global surgical packages and correct modifier usage to ensure accurate reimbursement.

Do you handle both inpatient and outpatient surgical billing?

Yes. We work with hospitals, ASCs, and private surgical practices across all specialties.

Can you assist with surgical pre-authorizations?

Absolutely. Our team manages the entire pre-approval process for surgeries to avoid delays in scheduling and payment.

Let’s Elevate Your Billing Process Together

You take care of patients. We’ll take care of your revenue.