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Modifier for PA

  1. #1
    Location
    Overland Park, KS
    Posts
    1,166
    Default Modifier for PA
    Exam Training Packages
    Modifier SA is used for an NP rendering the service performed under a MD. What modifier do you use for a PA who renders the service under the MD?
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  2. #2
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    Any help appreciated!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  3. #3
    Location
    Evansville Indiana
    Posts
    451
    Default SA modifier
    Which payor??
    Medicare does not use a modifier for this type of service.

    LeeAnn

  4. #4
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    LeeAnn,

    This is a private payer. It is Principal.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  5. #5
    Location
    Evansville Indiana
    Posts
    451
    Default SA modifier
    Okay, Sorry I can't really help you there. I did see an article from BCBS that stated the SA was for NP or PA though.
    LeeAnn

  6. Default PA Modifier
    It has been our billing office's practice to use the AS modifier with all PA claims we submit. Medicare will not recognize the 80 modifier. BCBS, Cigna, Aetna, UHC and most of the other major commercial carriers will also recognize the AS modifier. As typically apply the AS modifier to Tricare/ Champus claims too (coding hint: if you are submitting a claim for a RNFA, Tricare will recognize the TD modifier in place of either AS, 80 or 81).

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