Documentation showing CPT code reimbursment using 80 modifer

phillirk

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Is there a data or documentation/table website, which someone could direct me to where it would show if a particular CPT code could be reimbursed using modifier -80 (assistant surgeon)?

Realizing different carriers may or may reimburse, I was hoping to show my surgeon if Medicare would pay or not using the cms.gov website table, but I can't find what I am looking for there.

Thank you.
 

btadlock1

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Was it here?: http://www.cms.gov/transmittals/downloads/R1620CP.pdf

There are a few others that might help...
https://www.priorityhealth.com/provider/manual/billpymt/modifiers/80-82

https://www.cms.gov/transmittals/downloads/R1574CP.pdf :
"Assistant at Surgery (Modifiers AS, 80, 81 and 82)
This field provides an indicator for services where an assistant at surgery may be paid:
0 = Payment restriction for assistants at surgery applies to this procedure unless supporting documentation is submitted to establish medical necessity.
1 = Statutory payment restriction for assistants at surgery applies to this procedure. Assistant at surgery may not be paid.
2 = Payment restriction for assistants at surgery does not apply to this procedure. Assistant at surgery may be paid.
9 = Concept does not apply." - (Field 37)
You can get to the RVU files here: http://www.cms.gov/PhysicianFeeSched/PFSRVF/list.asp#TopOfPage

Hope that helps!
 
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