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PA and assistant surgeon modifer

  1. Default PA and assistant surgeon modifer
    Medical Coding Books
    Can the Assistant Surgeon modifer (80 or AS) be used with a PA is assisting?
    Thank you
    Chrissy

  2. #2
    Location
    North Carolina
    Posts
    3,126
    Default
    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
    Default
    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
    AHIMA Approved ICD-10-CM/PCS Trainer
    AAPC National ICD-10-CM Trainer

  4. #4
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
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    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
    Location
    North Carolina
    Posts
    3,126
    Default
    Yes...

    http://www.cms.hhs.gov/manuals/Downloads/clm104c12.pdf

    20.4.3

    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
    Default
    http://www.cms.hhs.gov/ContractorLea...ads/JA6123.pdf

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

    Laura, CPC

  8. #8
    Location
    North Carolina
    Posts
    3,126
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    This link has some very good information regarding modifier AS and the reimbursement rate.

    http://www.cms.hhs.gov/MLNProducts/70_APNPA.asp

    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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