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Thread: Pa And Np Modifiers

  1. #1
    Join Date
    Apr 2007
    Posts
    18

    Question Pa And Np Modifiers

    WE JUST BEGAN BILLING FOR AN OFFICE THAT HAS A NURSE PRACTIONER AND A PHYSICIAN ASSISTANT WHO ALSO SEE PATIENTS, ALONG WITH THE PHYSICIAN WHO RUNS THE PRACTICE.
    I WAS TOLD IT WAS AS. BUT ISNT THAT FOR AN ASSISTANT SURGEON??
    WHAT MODIFIER IS USED WHEN THE NP OR PA SEES THE PATIENT. THE LEAD DOC IS ALWAYS ON SITE DURING VISITING HOURS.

    THANKS
    MARIA P SANCHEZ, CPC

  2. #2
    Join Date
    Apr 2007
    Location
    Greeley, Colorado
    Posts
    2,046

    Default None

    No modifier is necessary for office visits by the NP or PA.
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Join Date
    Apr 2007
    Location
    North Carolina
    Posts
    3,128

    Default

    Physician Assistant as assistant at surgery should be identified with a modifier AS. HPSA modifiers shall be used on PA claims for HPSA areas (modifiers QB and QU); otherwise...no other modifiers are needed as Lisa pointed out.

    Section 110.3

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

    Also...this link is handy for PA/NP billing. The first link (in the download section) has a nice Power Point presentation.


    http://www.cms.hhs.gov/MLNProducts/70_APNPA.asp
    Last edited by RebeccaWoodward*; 01-23-2009 at 12:38 PM.

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