IF you are in a teaching hospital, then yes, the primary surgeon must indicate in the operative report that there was no qualified resident available in order to be a credentialed provider as assist. In that case you would use the -82 modifier. The required documentation is as simple as: In the absence of a qualified resident, Dr XXX assisted in this procedure by___(whatever s/he did)___.
If you are NOT in a teaching hospital you have no worries (at least with regards to documenting lack of qualified resident).
Hope that helps.
F Tessa Bartels, CPC, CEMC
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