Assistant Surgeon

Messages
1
Location
Sioux Falls, SD
Best answers
0
Does anyone have anything in writing that states an assistant surgeon needs to do their own documentation of the surgery? Or is it enough that the surgeon states that he was assisted by....

Any help would be greatly appreciated!:eek:
 

rjconnell

Networker
Messages
27
Best answers
0
Sorry, I wish that I had something written. I work in a teaching facility so ours may be a little different. When I bill for an assistant, the primary dicates the op-report with the statement that he was assisted by ____. Since we are teaching we have to have a separate statement that no qualified resident was available and we use a mod 82. For non-teaching you would probably use an 80. I have not asked my assists to provide any additional documentation the primary op-report should suffice.
 
Messages
4,466
Location
Milwaukee WI
Best answers
0
Co Surg vs Assist Surg

If the "second" surgeon is truly an assistant - then no separate dictation is required. The primary surgeon merely needs to state "assisted by ____." (and the no qualified resident statemetn if in a teaching hospital). Use -80 or -82 depending on if you're in a teaching hospital setting.

If the "second" surgeon is actually a co-surgeon - then each surgeon must dictate an operative report and you bill the same CPT to both with -62 modifier on both claims.

F Tessa Bartels CPC
 

mmelcam

Expert
Messages
262
Location
St. Louis, Missouri
Best answers
0
I read in a previous issue of General Surgery Coder's Pink Sheet that when using the assistant surgeon modifier, you do not need to dictate your own operative report. You just need to be listed as the assistant surgeon on the primary surgeon's operative report. I don't have access to the issue right now. When I get back to the office, I will let you know which issue it was in.
 

RebeccaWoodward*

True Blue
Messages
3,126
Location
North Carolina
Best answers
0
In addition to listing the assistant surgeons name, our payors require documentation for the need and role of an assistant surgeon. There is an excellent article about this in the January 2008 Coding Edge, page 38. I made a copy of this article for my surgeons and have had excellent results.
 

spirving

Networker
Messages
35
Best answers
0
If the "second" surgeon is actually a co-surgeon - then each surgeon must dictate an operative report and you bill the same CPT to both with -62 modifier on both claims.

F Tessa Bartels CPC
Is there a place I can find documentation supporting this statement? It only makes sense, really. But I am having trouble documenting this to our surgeons & I'm probably going to be opening a big can of worms with this. If there is written documentation somewhere, it would definitely help me along. I'm not finding anything on the CMS or OIG website. Thanks!
 

RebeccaWoodward*

True Blue
Messages
3,126
Location
North Carolina
Best answers
0
You're right...I had some difficulty finding this on CMS. I was, however, able to locate something on my local website. Maybe this will be helpful.

Appropriate Use of Modifier -62 for Co-Surgery
Recently, CIGNA Government Services Medical Review found that several providers were incorrectly appending the modifier -62 to every surgical procedure code billed during the same surgical session. The AMA CPT 2001 descriptor for modifier -62 says that "When two surgeons work together as primary surgeons performing distinct part(s) of a single reportable procedure, each surgeon should report his/her distinct operative work by adding the modifier -62 to the single definitive procedure code. Each surgeon should report the co-surgery once using the same procedure code. If additional procedure(s) (including add on procedure(s)) are performed during the same surgical session, separate code(s) may be reported without the modifier -62 added."

There are four guidelines that should be used when billing for co-surgery.

Modifier -62 is for use by two surgeons who work together as primary surgeons.
Modifier -62 should be added to the primary procedure. Each co-surgeon should use modifier -62 only once. It should not be linked to additional codes, including add-on codes.
Each of the co-surgeons may act as an assistant surgeon for additional procedures.
Surgeons of the same or different specialty can use modifier -62, but unlike assistant surgeons, each co-surgeon must dictate a separate operative report documenting his/her distinct operative work. The operative report should indicate the medical necessity for having two surgeons act as co-surgeons.

Look on page 37 on the below link.

http://www.cignagovernmentservices.com/partb/education/video/medicare101/101_mod3.pdf
 

RJG

New
Messages
8
Location
Green Bay Wisconsin
Best answers
0
More questions on assistant documentation

I have a question on this. We were recently told by our State Medical Society that our surgeons should be documenting why they needed an assistant surgeon and what the assistant did. Our surgeons have come back asking exactly what they should be saying. They feel it's obvious why they needed an assistant on a major surgery that allows one and they are wondering exactly what and how much they need to document on what the assistant did. Could someone give us an example of some of the wording they use?
 

LLovett

Guest
Messages
1,722
Best answers
0
What we are having our surgeons do is at the beginning of the op report they make a statement like "Due to the complex nature of this procedure, PA John Smith was present and assisted me through out" or whatever the reason is that they have an assistant.

Then in the op report itself we have them identify who did what by using terms like I, we, or the assistants name, such as "I opened...." "We then..." "PA Smith harvested the....".

These are just brief examples but hopefully they will help you.

Laura, CPC
 
Messages
4,466
Location
Milwaukee WI
Best answers
0
Teaching Hospital

Also, if you are in a teaching hospital you need to specifically state that "no qualified resident was available" ... and you use the -82 modifier.

F Tessa Bartels, CPC, CEMC
 

halebill

Guest
Messages
145
Location
Capital Coders, Columbia, SC
Best answers
0
Rebecca,

Thank you for your reference to the Jan 2008 Coding Edge article! I am about to have a show down with my surgeons on this very topic. I have pulled this edition and made copies. Now, I'm ready. You always have the most helpful responses! :D


Bill
 

sodapop

Guest
Messages
1
Best answers
0
coding edge January 2008 page 38

In addition to listing the assistant surgeons name, our payors require documentation for the need and role of an assistant surgeon. There is an excellent article about this in the January 2008 Coding Edge, page 38. I made a copy of this article for my surgeons and have had excellent results.
Can I get a copy of the coding edge you are referring to?
 

PGARCIA

New
Messages
3
Best answers
0
Need a copy please

Could you fax me a copy of the January 2008 Coding edge article.
I need to show one of my doctors the article on docmentation for assistant surgeon.
I would appeciate it.
My fax number is (210) 805-0410..
 
Last edited:

PGARCIA

New
Messages
3
Best answers
0
Rebecca,
Can you send me a copy of the January 2008 Coding edge article.
fax 210-805-0410.
Tks
 

nancygard1

Contributor
Messages
11
Best answers
0
Rebecca,
Can you send me a copy of the January 2008 Coding edge article.
fax 740-446-5677.

Thank you,
Nancy Gard, CPC, COBGC
 
Messages
1
Best answers
0
Could I please get a copy as well?

Hi Rebecca,

Could I please get a copy as well? My fax is 651-968-5900.

Thank you!
Kelly
 
Messages
6
Best answers
0
coding edge article

hello rebecca, i was wondering if i could get a copy of that coding edge article as well? i know its been a few days and im sure youre very busy, but i would greatly appreciate it :)

thanks

Andrea, cpc
fax: 317-338-9567
 

CHARLENA79

Networker
Messages
34
Best answers
0
Coding Edge Article

Could you fax me a copy of the January 2008 Coding edge article.
I need to show one of my doctors the article on docmentation for assistant surgeon.
I would appeciate it.
My fax number is (210) 805-0410..
Can I get a copy of this too .... it would be SO helpful? 513.961-1912
 

CHARLENA79

Networker
Messages
34
Best answers
0
Can anyone that received a copy of this article please fax it to 513.961.1912 Attn: Charlena??
 

nabernhardt

Guest
Messages
234
Best answers
0
may I please get a copy of this article too. I thought I could just pull it up but its too far back I see. if you don't mind please fax it to me 308-254-7258
had the wrong number would you mind faxing to this number. I'm sorry
 
Last edited:

Jewel

New
Messages
4
Best answers
0
In addition to listing the assistant surgeons name, our payors require documentation for the need and role of an assistant surgeon. There is an excellent article about this in the January 2008 Coding Edge, page 38. I made a copy of this article for my surgeons and have had excellent results.
Hi Rebecca,
Could you please fax me a copy of this article? The AAPC website doesn't have this on their archive. (808) 522-4860.
Thank you,
Jewel

Wow! That was INCREDIBLY quick! Thank you again!
 
Last edited:
Messages
1
Best answers
0
Good morning Rebecca,

can you please fax me a copy of the article please? 713-512-2289

Attn: Joymesha

Thanks
 

Mkerzman

Guest
Messages
4
Best answers
0
Please fax me a copy of the Coding Edge January 2008 page 38 article?
Fax # (605)945-3244
 

nrichard

Guest
Messages
254
Location
Pensacola, Fl
Best answers
0
Dear AAPC,

Due to the number of requests, can we get an update to this article in an upcomming addition of Coding Ege?
 

csindberg

New
Messages
1
Best answers
0
Rebecca,

Can you also fax me a copy of the article. My fax number is 608-833-1413, Attn: Cheryl

I really appreciate your assistance! :)
 
Messages
9
Best answers
0
Rebecca,
you have been great in sending copies all over, and I agree that this article should be re-posted in another Coding Edge with this kind of demand.

So if I may jump on the bandwagon - would it be possible for you to send me a copy of this article (408) 984-2456

Thanks so much
 

ckstein

Guest
Messages
10
Best answers
0
Rebecca, could you send one more to me? 734-647-5212

thank you
 
Last edited:

dwalsh68

New
Messages
4
Best answers
0
If someone wouldn't mind, please fax this article to me as well. I really appreciate it. 609-815-7814

Thanks,
Denise
 
Top