Surgery, Office-based

The American Academy of Family Physicians supports the delivery of office-based surgery, and anesthesia services for this surgery (such as regional block anesthesia or moderate (conscious) sedation, by family physicians based on the individual physician's documented training and/or experience, demonstrated abilities, and current competence. In fee-for-service environments, family physicians' surgical services should be paid using a resource-based relative value scale (RBRVS) and should include payment for appropriate surgical supplies and either facility or equipment fees (including direct and indirect costs attributable to providing these services). In capitated environments, surgical services included in the family physician's capitation rate should be specified by Current Procedural Terminology code. Surgical services not included in the capitation rate should be paid by the RBRVS methodology. (1982) (April 2014 BOD)