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General Surgery billing

General Surgery Billing Services

Surgical billing depends on operative notes, global periods and modifiers. Specialist billers turn every case into a clean, fully paid claim.

  • Operative note coding by certified surgical coders
  • Global periods and modifiers 22, 24, 25, 51, 57, 58, 78, 79 managed
  • Assistant surgeon and co-surgeon billing rules applied

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96%
Clean-claim rate target
15–20%
Typical surgical revenue recovered
< 35
Days in A/R goal
Overview

Why surgical billing needs experienced coders

General surgeons perform a wide range of open and laparoscopic procedures, gallbladder, appendix, hernia, bowel, breast and bariatric surgery. Each procedure carries a global surgical package that includes pre-operative care the day before, the surgery itself and routine post-operative follow-up for 10 or 90 days.

Getting paid correctly means reading the operative note carefully: identifying every billable procedure, applying multiple-procedure rules, documenting unusual complexity for modifier 22, and using the right modifiers for decisions for surgery, staged procedures, returns to the operating room and unrelated care during the global.

Surgeons also bill hospital consults and ED call coverage, assistant-at-surgery services and procedures at ASCs. A surgical billing partner reconciles surgery schedules with billed cases, follows up on authorization and medical-necessity denials, and keeps the practice compliant with NCCI edits.

Why it's hard

Common general surgery billing challenges

01

Operative note interpretation

Every billable component must be identified from the op note, or revenue is lost.

02

Global surgical packages

Visits and procedures during globals are denied without the right modifiers.

03

Multiple procedure rules

Payment reductions and bundling apply when several procedures are done together.

04

Modifier 22 documentation

Unusual complexity must be clearly documented to receive additional payment.

05

Assistant and co-surgeon rules

Payers restrict which procedures allow assistants or co-surgeons.

06

Unbilled cases

Cases at multiple hospitals and ASCs are missed without schedule reconciliation.

What's included

What a general surgery billing partner should handle

  • Pre-surgical benefits and authorization checks
  • Operative note coding and audits
  • Global period tracking and modifier review
  • Assistant surgeon and co-surgeon billing
  • Hospital consult and call coverage billing
  • Surgery schedule reconciliation
  • Bariatric program billing support
  • Denial management and appeals
  • Patient estimates for elective surgery
  • Surgeon productivity reports
Coding focus

Key codes in general surgery billing

Code(s)What it covers
47562Laparoscopic cholecystectomy.
44970Laparoscopic appendectomy.
49650Laparoscopic repair of initial inguinal hernia.
19301Partial mastectomy (lumpectomy).
43644Laparoscopic gastric bypass with Roux-en-Y gastroenterostomy.
10060 / 10061Incision and drainage of abscess, simple / complicated or multiple.
57 / 58 / 78 / 79Decision for surgery, staged procedure, unplanned return to OR, unrelated procedure in global.

Code examples are for orientation only. Always code from the current CPT®, HCPCS and ICD-10-CM code sets and payer policies.

NCCI and global compliance

Follow NCCI procedure-to-procedure edits and use modifiers 59 or X{EPSU} only when documentation supports a separate site or session. Payers audit surgical modifiers closely.

How it works

Find the right billing partner in four steps

1

Share your goals

Tell us your specialty, monthly claim volume, EHR and the problems you want fixed, denials, slow A/R or staffing gaps.

2

Get a free audit

We review a sample of your claims and aging report to show where revenue is leaking and what a specialist could recover.

3

Compare vetted companies

Shortlist billers with proven general surgery experience, transparent pricing and verified client reviews.

4

Onboard with confidence

Sign a BAA, connect your EHR and clearinghouse, and track clean-claim rate, days in A/R and collections from month one.

Compare

Top-rated medical billing companies

Billing companies listed on BillerFirms, ranked by client reviews. Ask each one about their general surgery experience.

See all companies
5.0 5 reviews

Who We Are We are Prime Medical Billing Solutions, LLC, a results-driven medical billing and revenue cycle partner headquartered in Atlanta, Georgia. Since about 2015, we have operated with the belief that true value lies in partnering, rather than merely contracting, with providers to ensure personalized attention and peak revenue performance. Founded by seasoned billing professionals with 20+ years of combined expert experience, our home office in Atlanta supports both individual practices and larger provider groups. Our team is passionate about maximizing reimbursements and simplifying the billing journey step by step. What Services We Offer We provide a comprehensive suite of services designed to optimize every phase of the revenue cycle: Claims processing & billing management, including electronic, UB‑04, and HCFA‑1500 formats Accounts receivable and collections, focusing on paid-to...

Atlanta, Georgia
Founded 2015
Claims ProcessingDenial ManagementCredentialing (Payer & License)
No reviews yet

GreenSense Billing is a trusted leader in medical billing and revenue cycle management, providing comprehensive solutions tailored to the unique needs of healthcare providers across the United States. Our mission is to streamline administrative complexities, optimize reimbursements, and enhance financial performance, allowing medical professionals to focus on delivering exceptional patient care. Our Services • We offer end-to-end medical billing and revenue management solutions, including: •  Medical Billing & Coding - Accurate claims processing to maximize reimbursements and minimize denials. •  Revenue Cycle Management (RCM) - A holistic approach to managing claims, payments, and collections. •  Provider Credentialing - Seamless enrollment with insurance networks to ensure timely reimbursements. •  Financial Solutions - Data-driven insights and financial reporting to optimize practice...

Las Vegas, Nevada
Founded 2003
Claims ProcessingDenial ManagementRevenue Cycle Management
No reviews yet

Let’s face it, medical billing shouldn’t be the most challenging part of running a practice. At Medical Lean Management, we take the chaos out of revenue cycle management so you can get back to what matters: delivering excellent patient care. Based in Corona, California, we’re not just another faceless billing company, we’re your partners in efficiency, here to simplify the financial side of healthcare. Why Us? Because We Get It. Paperwork piles up. Claims get denied. Regulations keep changing. It’s enough to make anyone’s head spin. That’s where we step in. We don’t just process claims, we optimize your entire revenue cycle, cutting through the red tape to get you paid faster and with fewer headaches. Our goal? To make your billing so smooth, you’ll wonder how you ever managed without us. Here’s How We Help: ✔ Fewer Denials, More Revenue - Our precision-driven approach slashes claim den...

Corona, California
Founded 1994
Claims ProcessingDenial ManagementRevenue Cycle Management
No reviews yet

Overview & Mission Access Revenue Hawaii, founded in 2022 in Holualoa, Hawai‘i, is a specialized medical billing and revenue cycle management (RCM) company with a primary focus on behavioral and mental health providers. Drawing deeply from social work roots, the leadership team recognized the administrative friction mental health professionals face, credentialing delays, complex payer regulations, EMR documentation requirements, and chose to build a firm that helps clinicians focus fully on patient care. Their mission centers on removing financial and operational barriers so therapists, counselors, and behavioral health groups can thrive financially while delivering quality care to Hawai‘i’s communities. Origin Story & Local Presence The company was born out of a clear insight: behavioral health providers in Hawai‘i suffer unique administrative challenges. From intricate Medicaid billing...

Chandler, Arizona
Founded 2007
Claims ProcessingDenial ManagementRevenue Cycle Management
Pricing

How much does general surgery billing cost?

Most billing companies charge a percentage of what they actually collect, so their incentive matches yours. Complex specialties sit at the higher end of the range because of prior authorizations, modifiers and appeal work.

Percentage of collections
4% - 7%

Most common. You pay only on money collected.

Per claim
$4 - $10

Predictable for high-volume, low-complexity claims.

Hourly / FTE
$12 - $35/hr

Dedicated billers working inside your systems.

Typical market ranges; actual quotes depend on claim volume, payer mix and scope. Compare quotes from several companies.

FAQ

General Surgery billing FAQs

Pre-operative visits the day before or day of surgery, the procedure, routine post-operative care and treatment of minor complications that do not require a return to the OR.

When the procedure required substantially greater work than usual, such as extensive adhesions, documented with time and reason.

No. Payers limit assistant-at-surgery billing to procedures where assistants are typically medically necessary.

By reconciling surgery schedules at every facility with billed claims daily or weekly.

Many surgical billing companies handle both professional and ASC facility billing.

Typically 4% to 7% of collections.

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