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Billing Assistant surgeon at delivery

  1. Default Billing Assistant surgeon at delivery
    Medical Coding Books
    I need help with coding for the assistant surgeon for Florida Medicaid during a C-Section. If I code a delivery only for the primary physician 59515, do I use the same code with AS-80 for the assistant or do I use the C Section delivery only code 59514 with the same modifier?

    CPT 59515 includes ante partum and the assistant will not be providing that care.

  2. #2
    I have the same question. I would like if we can get response to this.

    Thank you

  3. #3
    Here is what i found out by calling Medicaid of FL several times:

    The 59515 is to be billed for the 1st assist with taxonomy code entered in box 24J. This CPT code includes delivery and post-partum care while the patient is in the hospital. Once the patient is discharged the rendering surgeon will bill different CPT code for post-partum care in the office.

    Since the 1st surgical assistant assisted the rendering surgeon in delivery he/she should bill this code for his/hers service. The assistant will be paid less than surgeon based on the taxonomy code.

    I hope this helps.

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