Wiki CPT 33361 and 33362, TAVR and -AS claims to Medicare

Lakeland, FL
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I have had issues getting payment for surgical assist claims for the TAVR procedures, CPT 33361 and 33362. The Medicare fee schedule designates status indicator 0, meaning the procedure is sometime reimbursed for an assist. Per Medicare manual these codes require -Q0 and -62. When billing a midlevel assist we are getting co-4 (invalid modfiifer) denials when we omit orappend -62. Has anyone had any luck with getting the assistant surgeon paid from traditional Medicare? I spoke to a Medicare rep and she stated they don't reimburse midlevel assists for TAVR but she was unable to give me her reference...