Can you bill two assistant surgeons?

a. One assistant surgeon is allowed per procedure code/surgery. b. A second assistant surgeon will be considered only on a written appeal when documentation of medical necessity for the second assistant surgeon is submitted.

What is the modifier for assistant surgeon?

Modifier 80
CPT Modifier 80 represents assistant at surgery by another physician. This assistant at surgery is providing full assistance to the primary surgeon. This modifier is not intended for use by non-physicians assisting at surgery (e.g. Nurse Practitioners or Physician Assistants).

When should modifier 62 be used?

Under certain circumstances, two surgeons (usually with different expertise) may be needed to perform a specific surgical procedure. An example of co-surgery is when one surgeon performs an incision and exposes the area requiring surgery and another surgeon performs the surgery.

What is modifier 99 used for?

Modifier -99 indicates that multiple modifiers may apply to a particular service. Because Blue Cross can accept up to four modifiers, -99 should be used only if there are five or more modifiers applicable to a particular service line.

What is 80 modifier used for?

Modifier 80 is appended to the surgical code when another surgeon is assisting at surgery.

What is the difference between modifier 80 and 82?

assistant at surgery services. To bill for these services, you should use Modifier 80 (assistant surgeon), 81 (minimum assistant surgeon), or 82 (when qualified resident surgeon not available). You should also use Modifier AS when you need to indicate that a PA, NP or CNS served as the assistant at surgery.

How do you bill for assistant surgeon?

A physician’s surgical assistant services may be identified by adding the modifier 80 to the surgical procedure code. This modifier describes an assistant surgeon providing full assistance to the primary surgeon, and is not intended for use by non-physician providers.

Can a PA bill as an assistant surgeon?

You cannot bill for an assistant surgeon just because the assistant is listed in the header of the operative note.

What is the modifier for minimum surgical assistant services?

Minimum surgical assistant services are identified by appending modifier 81 to the usual procedure code. Modifier 82 Assistant Surgeon. Modifier 82 indicates that the procedure was performed requiring the presence of an assistant surgeon when a qualified resident surgeon was not available.

What is as modifier in medical billing?

AS — Non-physician provider as an assistant at surgery: This modifier applies when the assistant at surgery services are provided by a PA, APNP, or CNS. Medicare Reimbursement: Medicare assistant surgeon claim is reimbursed at 16% of the CMS MPFS rate unless billed with the AS modifier, which is reimbursed at 14%.

When do Pa’s need to bill with a modifier?

–80 Modifier: PA’s, APN’s, and CRNFA’s who are billing with their own National Provider Identifier (NPI) will not need to bill a modifier, unless they are billing as an Assistant Surgeon, then they must use the –80 modifier. Appropriate use of assistant at surgery modifiers and payment indicators First Coast Service Options Inc.

What is the difference between modifiers 82 and as?

Modifier 82 – Assistant surgeon when qualified surgeon not present. Modifier AS – Physician Assistant (PA), Clinical Nurse Specialist (CNS), Nurse Practioner (NP) for assistant surgery. The allowed amount for assistant at surgery is 16% of physician fee schedule. For PA, CNS and NP allowed amount is 85% of 16% of physician fee schedule.