Wiki BILLING FOR PA ASSISTANCE IN HAND SURGERY

[PATPER]

ARE THERE CERTAIN CPT CODES FOR HAND SURGERIES THAT INSURANCE COMPANIES WILL ONLY PAY FOR A PA ASSIST ON?

 

[csperoni]

CMS publishes the CPT codes that never allow an assist, sometimes allow an assist, or do allow an assist. And of course, medical necessity is the overarching criteria for all services. Most carriers follow the same CPT listing, but your contracts could vary.
It is listed in the MPFS. https://www.cms.gov/medicare/physician-fee-schedule/search/overview