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    Wiki Hand-and-Wrist Procedures performed in an Office-Based Surgical Suite (OBSS)

    Hand-and-wrist procedures lend themselves to WALANT (Wide Awake Local Anesthesia with No Tourniquet) where the surgeon can communicate with an awake patient and ask them to move their fingers during the operation to obtain immediate feedback. Even though there are dozens of peer-reviewed...
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    Wiki Negotiating for office overhead when Site of Service Differential (SOSD) = zero?

    Does anyone have any experience with contract negotiations for surgical procedures, which are typically performed in a facility (SOSD=0), and are now performed in an OBSS (Office-Based Surgical Suite)? The POS is now 11. This is growing in popularity in orthopedics (hand and wrist), podiatry...
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    Wiki WALANT: (Wide Awake Local Anesthesia with No Tourniquet)

    Is anyone working with surgeons using WALANT? Note that this is not a specific CPT code but how you perform a host of procedures. The most common are hand and wrist procedures such as: carpal tunnel release, tendon repair and removal of masses. The issue is not the CPT code but where the surgery...
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