AS and 62 together?

Victoria323

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during a spine surgery, two surgeons and one surgeons PA- denial came back for 20600 for PA's claim and reason was that AS is inconsistent with procedure.

Do I add the 62 with AS? How can I bill this out? The ortho surgeon had modifier 62 with 20600, but the PA is also trying to bill out that procedure with the AS- do I put 62 and AS for the PA's portion?
 

thomas7331

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Assisting at surgery and acting as co-surgeon are two separate things so you would never use both of these modifiers at the same time. A PA is not qualified to be a co-surgeon, so the 62 modifier would be inappropriate - I would bill it will just AS. However, I'd note that Medicare policy does not allow payment for an assistant in addition to two co-surgeons - the fee for the two physicians is intended to cover the entire procedure and there is no separate payment allowed for an additional participant in the surgery.
 

marandee

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CPT code 20600 does not accept modifier -AS, which is the only applicable modifier for determining PA as assistant at surgery. Thomas is correct, - 62 never allowed for PA.
 
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