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SVS - NPP/APP Billing and Coding for Vascular Surgeons - Member

Learn essential billing and coding practices for NPPs and APPs in vascular surgery. Topics include NPP qualifications, direct and incident-to billing, shared billing changes, new E/M guidelines, and distinguishing office versus hospital procedures. Engage with clinical scenarios for practical insights.


As a result of attending this course, you will be able to:

  • Describe the difference between direct and incident to billing.
  • Describe the reimbursement difference between direct vs incident-to billing.
  • Understand billing for NPP procedures.


NPP/APP Billing and Coding for Vascular Surgeons

  • Who qualifies as an NPP?
  • Direct billing
  • Incident to billing 
  • Shared billing: 2023 Changes 
  • How do the new E/m guidelines change NPP billing? 
  • Billing for procedures 
    • In the office 
    • In the hospital  
  • Clinical scenario

Teri Romano, BSN, MBA, CPC, CMDP

Speaker and Consultant


Teri Romano has over twenty-five years of consulting and teaching experience in the health care field. Ms. Romano works with physician groups and hospitals combining a background in clinical systems with solid approaches to operational and organizational problem solving.

Teri is co-developer and instructor for the national coding and reimbursement workshops sponsored by the American College of Surgeons, the Society for Vascular Surgery and the American Association of Neurological Surgeons.  She also provides on-site customized coding and reimbursement courses to physician and hospital groups, specializing in neurosurgery, general surgery, vascular surgery, and vein well as E/M and surgical case audits to assist physician groups in their compliance activities. In addition, she consults with vein, vascular, general surgical, and neurosurgical practices on practice management issues including service line development, revenue enhancement, staffing models, appeals management and expense reduction.

Read more about Teri HERE

AAPC Accreditation

This program meets AAPC guidelines for 1.5 CEU. Can be split between Core A, CPCO, CEMC and CPMA after successful completion of a Post-Test for continuing education units. 

Accreditation expiration date: 5/30/25

Important Note: Please be sure to complete the course before the CEU expiration date if you plan to obtain CEU credits.


NPP/APP Billing and Coding for Vascular Surgeons - Recording
Open to view video.  |  57 minutes
Open to view video.  |  57 minutes
NPP/APP Billing and Coding for Vascular Surgeons - Slides
Open to download resource.
Open to download resource.
SVS Course Evaluation
Please follow the link to fill out your post-course evaluation.
NPP/APP Billing and Coding for Vascular Surgeons - CEU Test
10 Questions  |  3 attempts  |  7/10 points to pass
10 Questions  |  3 attempts  |  7/10 points to pass
CEU Certificate
Up to 1.50 medical credits available  |  Certificate available
Up to 1.50 medical credits available  |  Certificate available

Registering Multiple Attendees 

  1. Create, or have each attendee create, a user account here
    1. If one person is creating all of the accounts you will need to log out each time to create the next account.
  2. Log in with the account that you wish to pay through and add desired products to your cart. 
  3. Once you have selected all the desired products, go to your cart. 
    1. You will initially be registered for each product. You can edit this after you have added the additional attendees using the "remove" button.
  4. To add the additional attendees select the green button in your cart titled “Add a Registration for Another User.”
  5. Enter the email address for the additional attendee.  If they have an account their name will populate and you can select “Add Product for This User.”
  6. The attendee's name will appear in the registrant column under your own. 
  7. Repeat this for each additional attendee.
  8. Proceed, filling out the additional information for each attendee and completing payment.

If you have any issues with completing your registration please email us at or call 312 642-8310