Modifier 82 is required for use in teaching hospitals to identify the assistant surgeon when no qualified resident was available.
Only the primary surgeon dictates an operative report. The primary surgeon is responsible for naming the assistant surgeon(s) and specifically stating the role that surgeon took in the procedure.
The assistant surgeon does not have to dictate at all.
In a teaching hospital, the primary surgeon is also responsible for stating in the operative report whether there was no qualified resident available. Absent this statement you cannot code for an assist from another surgeon.
If you happened to have a resident in the room also, you will probably not be able to code for Dr A's services at all.
You will need to check the edits for these procedures to see if an assist is even allowed.
I do not know how your operative report reads, or what the edits say, but can you code the 38792 for Dr A and the 19303 and 38525 for Dr B? (You would need two distinct operative reports.)
Hope that helps.
F Tessa Bartels, CPC, CEMC
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