Wiki Reimbursement for AWV billed under PA

[nomie7]

I am struggling to find definitive info on this. Is AWV reimbursement 85% allowed amount when performed and billed under a physician assistant?

 

[Pam Warren]

yes, PAs (in fact, all mid-levels) are paid at 85% of the Medicare fee schedule when billed under their own NPI. That goes for all services within their scope of licensure, including assistant at surgery.

 

[nomie7]

Thank you so much. Do you have anything to reference AWV specifically?

 

[Pam Warren]

if it's on the fee schedule, it will adjudicate with the same 15% reduction if billed under an APRN. It's not code specific. It's an overall rule for midlevels billing Medicare.