assistant surgeon

  1. C

    Wiki Assistant at Surgery

    I have been having a discussion with my OBGyn providers about the documentation required for Assistant at surgery (Modifier 80). I have been telling them, based on what I have found and read in various articles, that they need to include documentation of why an assistant was needed and what the...
    • CFINDLING
    • Thread
    • assistant assistant surgeon
    • Replies: 4
    • Forum: OB/GYN
  2. A

    Wiki CO-SURGEONS/SURGERY ASSIST

    Hello, I am looking for some guidance for a new Spine Doctor that has recently joined the orthopedic practice I work for. Dr. S is our Spine surgeon and he has been assisting another physician, Dr. Y on some spine surgeries. Dr. Y is a neurosurgeon. I have two questions, the first would be...
  3. M

    Wiki Lap Prostatectomy with dx Laparoscopy Question

    Good Morning, I have a general surgeon who was asked to help gain access and check for scar tissue due to previous abdominal surgery. My general surgeon worked with the Urology surgeon to perform a diagnostic laparoscopy before the general surgeon scrubbed out and Urology (with the help of an...
  4. K

    Wiki Assistant at Surgery - Global Period

    I have a physician questioning if the global period applies to him when he was the "assistant at surgery". He feels that the global period does not apply when he is only the assistant and can bill for sub visits. I have researched this and I can't find anything "in writing". I am pretty...
  5. B

    Wiki Assistant surgeon billing

    Hello, I would really appreciate if someone can help me out with billing for an assistant surgeon. I have just started working for a plastic surgeon and he has decided to use an assistant surgeon in one of his surgeries for breast reduction. I would like to know if we have to use different codes...
    • bkhattak
    • Thread
    • assistant surgeon billing modifier 80 modifier as plastic surgery plastic surgery coding surgery surgery center
    • Replies: 20
    • Forum: Billing/Reimbursement
  6. C

    Wiki Assistants at surgery (non-MD: NP, PA, or CNS)

    Assistants at surgery (non-MD: NP, PA, or CNS) Our physicians are lack luster in their documentation of their assistants during surgery, which is causing denials and delays in payment. I am aware of the compliance standards that requires their active role to be documented in the body of the...
  7. KStaten

    Wiki How to Bill for An Assistant Surgeon in Athena?

    Hello, I need help, please! :) We just switched to Athena and I have already run into a question. (Well many, but this is the one at the moment.) In order to create a claim for an assistant/PA, our old system allowed us to clone the ticket and then make adjustments on the cloned ticket to...
  8. M

    Wiki Bowel resection with anastomosis

    My General surgery providers want to know if they perform bowel resection with anastomosis, is it separately billable. One surgeon did the resection, and other surgeon did the anastomosis. Should this be billed as an assisting surgeon, or can it be billed separately? Is there a CPT code for...
    • Missy13
    • Thread
    • anastomosis assistant surgeon bowel bowel anastomosis large bowel small bowel
    • Replies: 3
    • Forum: General Surgery
  9. D

    Wiki Billing a PA as an AS for Medicare

    I am trying to bill out an Assistant Surgeon - who is also a PA - to Medicare and the claims keep getting denied as either Remark Code N259: MIS/INC/INV 2ND ID or PR172: PYMT ADJ WHEN PERF BY PROV OF THIS SPECIALTY. The primary surgeon - who is an MD - was paid. Anyone have any insite on how...
  10. C

    Wiki Two Assistant Surgeons

    We have a physician who will soon begin operating with two assistant surgeons on hand and, in certain instances, we will be billing for them both for the same operative session. Their charges will both be billed with an 'AS' modifier due to credentials (PA/CRNP) for the same date and on separate...
    • clark.amy86
    • Thread
    • assistant surgeon modifier as surgery two providers
    • Replies: 2
    • Forum: Orthopaedics
  11. C

    Wiki Two Assistant Surgeons

    We have a physician who will soon begin operating with two assistant surgeons on hand and, in certain instances, we will be billing for them both for the same operative session. Their charges will both be billed with an 'AS' modifier due to credentials (PA/CRNP) for the same date and on separate...
  12. baroquecoder

    Wiki Assistant Surgeon Status Indicator 2

    Hernia repair done with an assistant surgeon. Assistant surgeons' name is indicated at the top of the report but nowhere else in the document is indicated the work done by the assistant and nowhere in the document is demonstrated the need for the assistant surgeon. What are the documentation...
  13. R

    Wiki Assistant Surgeon Billing

    I work for an orthopedic surgeon who does predominantly worker's compensation billing. Recently, we have gotten denials from some of the insurance carriers denying the assistant surgery due to "the surgeon must specify what specifically the assistant performed." We have never heard of this...
    • rebeccadb
    • Thread
    • additional documentation assistant surgeon denial
    • Replies: 11
    • Forum: Orthopaedics
  14. S

    Wiki Assistant Surgeon claim denial: considered inclusive ...

    In GYN surgery, the primary surgeon did multiple procedures. The assistant surgeon assisted with only one of those procedures. The procedure that had the assistant was considered inclusive of the other services done by the primary surgeon. Does the assistant surgeon have any standing for...
  15. B

    Wiki 62362

    Is CPT code 62362 payable for an assistant surgeon? According to AAPC 62362 is billable with an AS modifier but Blue Cross is stating invalid procedure code/modifier combination.
  16. N

    Wiki Assistant Surgeon modifier 80

    I just wanted to verify some things before I submitted a charge. Is it correct that when billing with modifier 80, the assistant surgeon gets paid 16% of the allowable and the primary surgeon's reimbursement is not affected? Also is it correct that the assistant surgeon does not have to...
  17. K

    Wiki How to bill assistant surgeons- OBGYM

    Hey all, I am just needing verification how to bill an assistant at surgery.. my thoughts are either 59409,80; 59514,80; 59612,80; 59620,80 (depending on the situation/documentation). Any input is greatly appreciated. **actually just verified that the 80 modifier is only allowed on 59514...
    • KSanders1983
    • Thread
    • assistant surgeon birth maternity obgyn pregnancy
    • Replies: 1
    • Forum: OB/GYN
  18. N

    Wiki Help....documentation needed to bill for assistant surgeon

    What information is needed in the OP note to bill for an assistant surgeon. I know the AS name should be in the OP note header, but what do they need to say in the OP note? Does the primary say what portions of the surgery the assistant performed? Can an attending go into the OR and...
  19. D

    Wiki Physician Assistant Assist at Surgery - Different Group

    My group of general and trauma surgeons wants to "share" our PA with an orthopedic group. She would be doing first assist at surgery for both groups but only be employed by our group. My docs think I can bill the assist under our tax ID and the ortho group bill the physician services under their...
  20. E

    Wiki Can you bill 20985-AS

    Hi friends- I have a question about billing assistant surgeon. My surgeon is starting to utilize 20985 in his total joint surgeries. My question is, when billing his PA as an assistant to surgery, am I able to bill 20985- AS, or should I leave out the imaging code for the assistant since it...
    • esimonsen
    • Thread
    • assistant assistant surgeon billing physician assistant
    • Replies: 1
    • Forum: Orthopaedics
  21. P

    Wiki Documentation showing CPT code reimbursment using 80 modifier

    Is there a data or documentation/table website, which someone could direct me to where it would show if a particular CPT code could be reimbursed using modifier -80 (assistant surgeon)? Realizing different carriers may or may reimburse, I was hoping to show my surgeon if Medicare would pay or...
    • phillirk
    • Thread
    • assistant surgeon modifier 80
    • Replies: 2
    • Forum: Modifiers
  22. P

    Wiki Documentation showing CPT code reimbursment using 80 modifer

    Is there a data or documentation/table website, which someone could direct me to where it would show if a particular CPT code could be reimbursed using modifier -80 (assistant surgeon)? Realizing different carriers may or may reimburse, I was hoping to show my surgeon if Medicare would pay or...
    • phillirk
    • Thread
    • assistant surgeon modifer 80
    • Replies: 1
    • Forum: Modifiers
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