Wiki SECOND request**Need help**

[tboback]

We have 3 new NP's and I've never coded for NP's.

1) When a NP assists my neurosurgeon on a procedure, what is required?

2) Does the NP need to dictate their own note for the procedure?

3) Does the surgeon have to dictate who assisted them and what part of the procedure did they assist?

4) We also have residents. Does the doctor need to dictate that there was no resident available?

Please need your help!
Thank you,
Tina

 

[smovet]

In my experience with assistant PAs we used -AS modifier or -82, -AS for Medicare patients and we billed at 25% of the surgery fee or 10% for WC or NF. As long as the PA was listed on the op note we didn't need a separate note, and the Dr noted that no resident was available. I am not sure if this would be the same for NPs.