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Thread: Assistant Surgeon Question

  1. #1

    Default Assistant Surgeon Question

    AAPC: Back to School
    Can anyone tell me if an assistant surgeon (modifier 80) will be paid for an implantable penile prosthesis (CPT 54400, 54401 or 54405)? I am researching this for a client and thought I would start here.

  2. #2
    Join Date
    Apr 2007


    54405 accepts it

  3. #3
    Join Date
    Apr 2007


    I believe that Medicare allows payment for an assistant surgeon for 54405. Codes 54000 and 54004 do not allow payment for an assistant surgeon.

    If this is not a Medicare patient, then the third party payer for the patient would need to be contacted to see what their guidelines are for paying assistants at surgery.

  4. #4

    Default implantable penile prosthesis

    Medicare allows coverage for eligible claims. Some commercial carriers have excluded coverage for this procedure (check benefits for sure).

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