Wiki assistant surgeon

[Rgreen0118]

My physician just asked if you can bill an asst surgeon for a tubal that was done at the time of a c-section. This is a commercial insurance company.

Please let me know if any one has ever done this before?

Also, who is even getting paid for a tubal at the same time as a c-section?

Thanks,
Rhonda Green, CPC

 

[imjsanderson]

CPT 58611 is an add-on code for a tubal w/ c-section, per ACOG is "almost always requires an assistant surgeon"...I bill these often, wit -80, and get paid.

 

[dan528i]

We get apid as well on 58611-82 most carriers

 

[britbrit852003]

Per Ingenix's OB/GYN coding companion an assist is allowed for 58611 without providing documentation to justify the assist.
I bill this alot and never have a problem getting paid.

 

[Rgreen0118]

THANKS!!!! to everyone and their input