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Assistant Dr

  1. #1
    Default Assistant Dr
    Medical Coding Books
    We have 2 OB doctors in the same group and who did procedure 58180 (supracervical abd hysterectomy). I billed the 1st doctor 58180 and the 2nd doctor 58180 w/modifier 80 for assistant dr and medicaid denied stating needs attachments which I'm not sure what it meant and when I called they just told me to read the NCCI edits.
    Please tell me if only the doctor can get paid and they don't pay for assistant?
    If anyone knows situation who deals with this please let me know.

    Thank you.

  2. #2
    Milwaukee WI
    Default Send the op notes
    NOT my area of expertise, but ....

    You need to appeal with the operative notes. I'm thinking they just want to see the documentation. CPT 58180 does accept the -80 modifier.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    According to the ACOG coding manual, assistant surgeon should be covered under Medicare/Medicaid. I would do as the other person suggested and appeal with notes.

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