• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki medicare coding 95867 95920

Create Wiki
C

colleensso

Guest
Messages
23
Best answers
0
I am trying to get my assist surgeon paid for codes 95867 and 95920. Patient had a 42415 excisionparotid gland. I put a modifier 26 and it keeps get denied as payment does not get paid separately. CMS standards state that the assis doctor, not the promary Doctor can get paid for this. Any ideas?
Thanks
 
The assistant surgeon cannot bill for those services according to CMS.
Their policy states:

Medicare requires that the operating surgeon request this test and the monitoring performed by a physician other than:

The operating surgeon.
The technical/surgical assistant.
The anesthesiologist rendering the anesthesia.
 
You must log in or register to reply here.
Top