Governing Rule: 15.10
The unscheduled service benefit (modifier SURC) may not be claimed for:
15.10.1
15.10.2
services provided by physicians who are on-site and working a scheduled rotation duty shift in a hospital emergency department, AACC or UCC or providing first call coverage in an emergency department with greater than 25,000 visits per year;
15.10.3
additional procedures, i.e., those performed in association with another procedure;
15.10.4
non-invasive diagnostic procedures;
15.10.5
"V" category code services except for those listed under GR 15.9.1; and
15.10.6
Services included in the following list unless supporting information detailing unusual circumstances satisfactory to the Minister is provided.