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Wiki Proctoring Surgeon

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Jaslene08

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Is there a modifier that the proctoring physician uses when billing for a surgery?
Also if the same physician who is proctoring is in the same group, do we bill for both the proctoring and the rendering physician?
PLEASE HELP! THANKS!!
 
You cannot bill for both - proctoring is a teaching arrangement only. There would need to be medical necessity in the patient's condition to warrant billing for multiple surgeons. I'm not aware of a regulation on which provider should bill, but when our facility had this situation, we billed under the physician performing the procedure, not the one proctoring.
 
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