dballard2004
True Blue
Modifier SA is used for an NP rendering the service performed under a MD. What modifier do you use for a PA who renders the service under the MD?
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Wiki Modifier for PA
- Thread starter dballard2004
- Start date
dballard2004
True Blue
Any help appreciated!
cheermom68
Expert
SA modifier
Which payor??
Medicare does not use a modifier for this type of service.
LeeAnn
Which payor??
Medicare does not use a modifier for this type of service.
LeeAnn
dballard2004
True Blue
LeeAnn,
This is a private payer. It is Principal.
This is a private payer. It is Principal.
cheermom68
Expert
SA modifier
Okay, Sorry I can't really help you there. I did see an article from BCBS that stated the SA was for NP or PA though.
LeeAnn
Okay, Sorry I can't really help you there. I did see an article from BCBS that stated the SA was for NP or PA though.
LeeAnn
PA Modifier
It has been our billing office's practice to use the AS modifier with all PA claims we submit. Medicare will not recognize the 80 modifier. BCBS, Cigna, Aetna, UHC and most of the other major commercial carriers will also recognize the AS modifier. As typically apply the AS modifier to Tricare/ Champus claims too (coding hint: if you are submitting a claim for a RNFA, Tricare will recognize the TD modifier in place of either AS, 80 or 81).
It has been our billing office's practice to use the AS modifier with all PA claims we submit. Medicare will not recognize the 80 modifier. BCBS, Cigna, Aetna, UHC and most of the other major commercial carriers will also recognize the AS modifier. As typically apply the AS modifier to Tricare/ Champus claims too (coding hint: if you are submitting a claim for a RNFA, Tricare will recognize the TD modifier in place of either AS, 80 or 81).