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PA and assistant surgeon modifer

  1. Default PA and assistant surgeon modifer
    Exam Training Packages
    Can the Assistant Surgeon modifer (80 or AS) be used with a PA is assisting?
    Thank you

  2. #2
    North Carolina
    You'll receive many different responses on this. This will be region/carrier specific. Our region requires AS for PA's and 80 for Medicaid.

  3. #3
    The AS modifier is used for assistants-at-surgery that are non-physician practitioners, such as Physician Assistants, Nurse Practitioners or Clinical Nurse Specialists. The 80, 81 and 82 modifiers are for physicians.
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I, AAPC Fellow
    National Advisory Board Member 2018-2021, Region 6 Great Lakes
    Minneapolis AAPC Chapter, Education Officer 2018
    AHIMA ICD-10-CM/PCS Trainer
    AAPC National ICD-10 Trainer

  4. #4
    I use AS for my PA's, 80 for surgeons, and I use the 81 for my SA.

  5. Default
    do you reduce your fee when using this modifier?

  6. #6
    North Carolina


    For our purpose, it is set within the standards of our practice. The above link is the payment for a assistant surgeon. You can use this as a guide.

  7. #7

    According to this you need to use both 80 and AS.

    Laura, CPC

  8. #8
    North Carolina
    This link has some very good information regarding modifier AS and the reimbursement rate.

    Select the "Advanced Practice Nursing/Physician Assistant Power Point Presentation" (Bottom of page)
    Select the last icon PA

    Pages 12 and 14 answer your questions.

  9. Default
    We use -AS and -81 for our PA surgical assist's (depending on the payor). And we only use -80 for MD surgical assists. Hope this helps.

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