What rate is typically paid for a secondary procedure in a per-procedure payment model?

In a per-procedure payment model, it is common for secondary procedures to be reimbursed at a lower rate than primary procedures. This practice reflects the recognition that secondary procedures often involve less resource utilization or may be considered ancillary to the main procedure performed.

Specifically, paying a secondary procedure at 50% of the normal rate aligns with industry standards and payment policies, allowing healthcare providers to receive compensation while also acknowledging the reduced complexity and resource intensity typically associated with additional or subsequent procedures. This rate strikes a balance between incentivizing the efficient delivery of care and managing costs within the healthcare system.

In this context, paying secondary procedures at a lower percentage ensures that the payment structure remains sustainable while still providing appropriate reimbursement for services rendered.