Wiki Billing Assistant surgeon at delivery

[dgiangrande@paof.com]

I need help with coding for the assistant surgeon for Florida Medicaid during a C-Section. If I code a delivery only for the primary physician 59515, do I use the same code with AS-80 for the assistant or do I use the C Section delivery only code 59514 with the same modifier?

CPT 59515 includes ante partum and the assistant will not be providing that care.

 

[0913@70]

I have the same question. I would like if we can get response to this.

Thank you

 

[0913@70]

Here is what i found out by calling Medicaid of FL several times:

The 59515 is to be billed for the 1st assist with taxonomy code entered in box 24J. This CPT code includes delivery and post-partum care while the patient is in the hospital. Once the patient is discharged the rendering surgeon will bill different CPT code for post-partum care in the office.

Since the 1st surgical assistant assisted the rendering surgeon in delivery he/she should bill this code for his/hers service. The assistant will be paid less than surgeon based on the taxonomy code.

I hope this helps.