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Modifier 80 vs 82 - Does anyone have

  1. #1
    Question Modifier 80 vs 82 - Does anyone have
    Medical Coding Books
    Does anyone have information regarding 80 modifier? Also what type of documentation do you need for Medicare to use modifier 82? Can you use both in a teaching hospital? Thank you

  2. #2
    Location
    St. Louis, Missouri
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    262
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    I can tell you with modifier 80 your physician does not need to dictate his own operative report. You just use the primary surgeon's operative report as documentation. Your physician should be listed on this operative report as assistant surgeon. I have never used modifier 82 so I have no information regarding that modifier.

    Melissa Blow, CPC

  3. #3
    Default
    For modifier 82 there needs to be documentation in the operative note that there was not a "qualified resident available" for whatever the reason. The assist does not need to dictate their own note. If you are in a teaching setting you need to use 82 for assistants, unless of course the payor does not accept this modifier then you would use 80.
    Terri Winsor, CPC, CCC

  4. #4
    Location
    St. Louis, Missouri
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    262
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    Why would you use modifier 82 for teaching? Just curious.

    Melissa Blow, CPC

  5. #5
    Location
    Milwaukee WI
    Posts
    4,466
    Default 82 for teaching
    Melissa .. because when you are in a teaching hospital the assumption is that the residents (for whose services you cannot bill) are functioning as the assistant surgeons. So you need to use the 82 modifier that stipulates that no qualified resident was available.

  6. #6
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    St. Louis, Missouri
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    262
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    Makes sense...Thanks

    Melissa Blow, CPC

  7. Default
    As a fellow coder, I was interested in knowing if you ever received a satisfying answer to your question on: "Modifier 80 vs 82"? I work in a teaching physician hospital where that question comes up frequently.
    Thanks for any help.
    (pmandas@lmcmc.com)

  8. #8
    Location
    North Carolina
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    3,126
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    Take a look at 100.1.7 and begin reading there. This expands on Tessa's comment.

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

    http://lamedicare.info/provider/data...flow/MOD80.pdf
    Last edited by RebeccaWoodward*; 11-03-2008 at 11:47 AM. Reason: removed Palmetto link

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