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Non-surgical extended duration therapeutic services (NSEDTS) are services which have a significant monitoring component that can: extend for a lengthy period of time, are not surgical, and typically have a low risk of complications after the assessment at the beginning of the service. In 2011, the Centers for Medicare & Medicaid Services (CMS) established the minimum NSEDTS level of supervision as “direct supervision during the initiation of the service, which may be followed by general supervision at the discretion of the supervising physician or the appropriate nonphysician practitioner.”
1 In March 2020, CMS assigned on an interim basis a minimum required level of general supervision for NSEDTS services, including during the initiation portion of the service, in response to the COVID-19 Public Health Emergency (PHE).