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Thread: medicaid modifier

  1. #1

    Default medicaid modifier

    I have an ortho group I bill for and I am having a hard time getting the PA's visits paid- i am sending the claim over with an AS modifier- is their a special way to bill visits to medicaid for physicians assistant.
    Thanks
    Finance Analyst

  2. #2
    Join Date
    Apr 2007
    Location
    Phoenix, AZ
    Posts
    621

    Default

    Check your modifier. I used that when I billed the PA as the assistant surgeon.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  3. #3
    Join Date
    Apr 2007
    Location
    Columbus GA
    Posts
    570

    Default Modifiers

    In the state of GA we are not allowed ANY modifiers with Medicaid so you may need to check into that

  4. #4
    Join Date
    Apr 2007
    Location
    Milwaukee WI
    Posts
    4,452

    Default Wisconsin

    Our PAs are individually credentialed with T-19 Medicaid Wisconsin. We bill office visits by PAs under their own name/number. The AS modifier can only be used with procedure codes that accept an assistant surgeon. You would never use this modifier with E/M code.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  5. #5
    Join Date
    Apr 2007
    Location
    North Carolina
    Posts
    3,127

    Default

    2017 ICD-10-CM Coding Book
    Assuming you're referring to surgery...NC requires modifier 80 for assistant at surgery for those codes that allow an assistant.

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