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PA assisting surgeon

  1. #1
    Default PA assisting surgeon
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    When a PA assists surgeon, instead of using modifier "AS", can we bill using the "80" modifier? Some codes will not accept the AS modifier.

  2. Default
    Quote Originally Posted by tsmith8 View Post
    When a PA assists surgeon, instead of using modifier "AS", can we bill using the "80" modifier? Some codes will not accept the AS modifier.
    Some codes don't accept -AS? I know some carriers don't recognize the -AS modifier and for those insurances we use -80, but if a CPT doesn't allow -AS then it won't allow -80 either as far as I know. In Washington our Labor & Industries doesn't recognize -AS and so we bill our PA-C assists with -80 modifier to them.


  3. #3
    Loveland, CO
    I was under the impression that the 80 modifier was for qualified physicians only, and if the assistant surgeon is a PA-C the AS modifier *has* to be used. Is this incorrect? Does it vary from state to state? Would love some insight, I've been fighting my ortho denials from medicaid for asst surgeons b/c they do not recognize the AS mod, but since these are for PA's I feel it is not appropriate to change the mod to 80?

    Whitney CPC-A

  4. #4
    North Carolina
    I only have one carrier that requires modifier 80 for a PA...Medicaid. They do have a written policy on this.
    Rebecca CPC, CPMA, CEMC

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    Whitney, I totally agree with you in that CPT makes it clear how to bill those PA-C Assist claims....but Rebecca is correct in bringing up the written policy thing. If a carrier wants to create a written policy of how they want their claims then per our contract with that carrier we are complying with that written policy by billing it with -80.


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