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In coding terminology, what does the acronym NO refer to?

  1. Payment is made at 100 percent per eye

  2. Concept does not apply to the procedure

  3. Statutory payment restrictions are in place for assistants at surgery

  4. Service is inherently bilateral for payment purposes

The correct answer is: Statutory payment restrictions are in place for assistants at surgery

The acronym NO in coding terminology stands for "Statutory payment restrictions are in place for assistants at surgery." This means that there are specific legal limitations regarding how and when payment can be made for assistants who are helping during surgical procedures. Understanding this concept is essential for coding purposes as it ensures that the coding specialist adheres to regulations that govern the financial aspects of surgical assistance. Federal guidelines often dictate that certain payments cannot be billed if they violate these restrictions, meaning that knowing the implications of NO can directly affect the financial responsibility of the practice or institution involved. The other options reference different concepts that do not align with the definition of NO; for example, payment percentages or procedural applicability are unrelated to the statutory restrictions concerning assistant roles in surgery. By recognizing the significance of statutory payment restrictions, ophthalmic coding specialists can ensure compliance with regulations while accurately coding services rendered.