1) On an 837I version 5010A2 claim, if a principal procedure code is reported in the HI01-2 of Loop ID-2300*HI*BR, should Loop ID-2310B Operating Physician always be required/reported?
2) What determines what is a "surgical procedure" versus "non-surgical procedure" to determine when to report Loop ID-2310B Operating Physician? (based on the guideline in the TR3 for this loop)
The 2310B operating physician is only required if a procedure code listed on the claim is a surgical procedure. The surgical procedure could by submitted either as a principal procedure (2300 HI with a BR/BBR qualifier) or as the other procedure (2300 HI with BQ/BBQ qualifier).
A procedure is considered surgical if the code in the ICD-9-CM or ICD-10-PCS indicates surgery.