Surgical hierarchy

Sequencing of operative cases from those most to those least resource intensive (e.g., if a patient needs to have multiple surgical procedures, each of which occurs by itself, and the procedures could result in assignments to different diagnosis-related groups [DRGs]). A patient must be assigned to only one DRG per hospital admit.

Surgical package

In CPT coding, this is a surgical procedure code that includes the operation, local infiltration, digital block, or topical anesthesia, and normal, uncomplicated postoperative care. This is referred to as a “package,” and one fee covers the whole package. See also global surgery policy (GSP) .

Surgical team

Situation in which several surgeons are present during the operation. A five-digit CPT code number is used with an attached modifier -66 to list the procedure. If listing more than one modifier, the appropriate sequence is to list -66 first and any one of these modifiers in the next position (-54, -55).

surrogate UPIN

Originally used if no unique physician identification number (UPIN) had been assigned to the ordering/referring physician; it was temporary, except for retired physicians, and only used until an individual UPIN was assigned. UPINs have been replaced by national provider identifiers (NPIs). See national provider identifier (NPI) .