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Thread: resident as second assist

  1. #1
    Join Date
    Apr 2007
    Columbus, OH

    Default resident as second assist

    AAPC: Back to School
    I have a physician who did spine surgery with his PA as his first assistant. He had a resident as a second assistant. The surgeon dictated this information. For billing purposes would we just bill the PA with the AS modifier as if they were the only assistant?

    Kathy Daniel, CPC, COSC

  2. #2
    Join Date
    Apr 2007
    Northeast Kansas AAPC


    that's how I would do it since you can't charge for the resident. Same would be said if the PA had not assisted and the resident did - you could not bill for an assist of the resident.

  3. #3
    Join Date
    Apr 2007


    Yes, I agree

  4. #4
    Join Date
    Apr 2007
    Milwaukee WI

    Default Teaching Hospital

    If you are in a teaching hospital the surgeon's dictation MUST specify that there was no qualified resident available and therefore the PA was his assist. Otherwise, the PA assist is not billable to any government payer.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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