tdiederich
Contributor
Does anyone know if there is a medicare fee schedule that shows if an assistant surgeon is payable or not?
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Assistant Surgeon Allowed
- Thread starter tdiederich
- Start date
RebeccaWoodward*
True Blue
http://www.cms.hhs.gov/pfslookup/02_PFSsearch.asp?agree=yes&next=Accept
select your range of codes
select payment policy indicators
next
enter CPT code and select all modifiers on your drop key
4th column over
0-allowed with supporting documentation
1-no assist allowed
2-assistant allowed
9-concept does not apply
select your range of codes
select payment policy indicators
next
enter CPT code and select all modifiers on your drop key
4th column over
0-allowed with supporting documentation
1-no assist allowed
2-assistant allowed
9-concept does not apply
Last edited:
Belinda Frisch
Guru
Medicare Fee Schedule
To determine if an assistant is payable, look up the CPT on the MPFS.
http://www.cms.hhs.gov/PFSLookup/
There is an assistant payable column with indicator 0, 1, or 2.
0 Assistant surgeon may be paid with
documentation. Use 80 modifier.
1 Assistant surgeon cannot be paid.
2 Assistant surgeon can be paid. Use 80
modifier.
9 Assistant surgeon concept does not apply.
https://www.noridianmedicare.com/macj3b/fees/docs/2008/mpfs_2008_indicator_summary.pdf
To determine if an assistant is payable, look up the CPT on the MPFS.
http://www.cms.hhs.gov/PFSLookup/
There is an assistant payable column with indicator 0, 1, or 2.
0 Assistant surgeon may be paid with
documentation. Use 80 modifier.
1 Assistant surgeon cannot be paid.
2 Assistant surgeon can be paid. Use 80
modifier.
9 Assistant surgeon concept does not apply.
https://www.noridianmedicare.com/macj3b/fees/docs/2008/mpfs_2008_indicator_summary.pdf
Belinda Frisch
Guru
Funny
... we must have been doing that at the same time.
... we must have been doing that at the same time.
tdiederich
Contributor
Thanks Alot.