NSA · Federal IDR
General Surgery NSA IDR
General surgery out of network claims at in network ASCs and hospitals are systematically underpaid and systematically winnable at IDR when filed correctly. Download the NSA IDR checklist before your first filing.
- Surgeon founded
- HIPAA compliant · BAA on request
- One claim per CPT at federal IDR
Kronos Revenue applies the same one CPT per claim standard to general surgery that it applies to neurosurgery and orthopedics.
Common General Surgery CPT codes in NSA IDR
Abdominal
44950 appendectomy · 44970 laparoscopic appendectomy · 44140 colectomy partial · 43239 upper GI endoscopy with biopsy
Hernia
49505 inguinal hernia repair reducible age 5 or over · 49560 ventral hernia repair incarcerated · 49650 laparoscopic inguinal hernia repair
Typical claim range: $1,500 to $6,000 per CPT.
Get a free IDR review for your general surgery practiceMedical review
General Surgery NSA IDR questions
- Which surgical specialties does Kronos Revenue support for NSA IDR?
- We support orthopedic, neurosurgery, spine, plastic, anesthesia, and general surgery practices. Every federal IDR submission is one claim per CPT, specialty coded by RCM specialists trained on your procedure set.
- Why does specialty coding matter at federal IDR?
- Arbiters expect operative detail and correct CPT separation. Generalist attorneys batch codes, which violates federal IDR rules and loses awards your practice earned. We file each eligible CPT individually.
- Can Kronos handle high value neurosurgery and spine claims?
- Yes. Kronos was founded by a board certified neurosurgeon. Complex cranial, spine, and instrumentation claims receive the clinical depth IDR requires, not boilerplate attorney letters.
- What is a typical claim range by specialty?
- Ranges vary by CPT and market. Orthopedic claims often fall between $2,000 and $8,000 per CPT; neurosurgery and spine claims can run higher. We confirm estimates on your free case review using real EOBs.
- How do I get a free NSA IDR review for my specialty?
- Submit the case review form or call (914) 705 6830. Share sample EOBs and your specialty mix. We respond within one business day with what you could recover versus your current attorney or biller.
References
- CMS Federal IDR Q1/Q2 2025 Public Use File (January 21, 2026)
- Georgetown University CHIR · Health Affairs webinar, March 2026
- Brookings Institution NSA Arbitration Databook · April 2026
- ACR — Providers prevail in vast majority of IDR claims · January 29, 2026
- Zelis — NSA IDR eligibility challenges · March 2026
- No Surprises Act: Public Law 116-260, Division BB, Title I
- Federal IDR regulations: 45 CFR Part 149
- CMS No Surprises Act overview
- Federal IDRE portal
Explore more on Kronos Revenue
Get a free IDR review for your general surgery practice
- Surgeon founded
- HIPAA compliant · BAA on request
- One claim per CPT at federal IDR