AAPC - Back to school
Results 1 to 2 of 2

Thread: Documentation showing CPT code reimbursment using 80 modifer

  1. #1
    Join Date
    Apr 2007

    Default Documentation showing CPT code reimbursment using 80 modifer

    AAPC: Back to School
    Is there a data or documentation/table website, which someone could direct me to where it would show if a particular CPT code could be reimbursed using modifier -80 (assistant surgeon)?

    Realizing different carriers may or may reimburse, I was hoping to show my surgeon if Medicare would pay or not using the cms.gov website table, but I can't find what I am looking for there.

    Thank you.

  2. #2
    Join Date
    Apr 2007
    Lubbock, TX


    Was it here?: http://www.cms.gov/transmittals/downloads/R1620CP.pdf

    There are a few others that might help...

    https://www.cms.gov/transmittals/downloads/R1574CP.pdf :
    "Assistant at Surgery (Modifiers AS, 80, 81 and 82)
    This field provides an indicator for services where an assistant at surgery may be paid:
    0 = Payment restriction for assistants at surgery applies to this procedure unless supporting documentation is submitted to establish medical necessity.
    1 = Statutory payment restriction for assistants at surgery applies to this procedure. Assistant at surgery may not be paid.
    2 = Payment restriction for assistants at surgery does not apply to this procedure. Assistant at surgery may be paid.
    9 = Concept does not apply." - (Field 37)
    You can get to the RVU files here: http://www.cms.gov/PhysicianFeeSched....asp#TopOfPage

    Hope that helps!

Similar Threads

  1. Cpt code for showing exercises
    By sgarris in forum Orthopaedics
    Replies: 1
    Last Post: 12-18-2014, 12:42 PM
  2. CPT 92226 modifer 50 or RT LT
    By *3boys in forum Ophthalmology/Optometry
    Replies: 3
    Last Post: 09-30-2014, 02:47 PM
  3. Avonex billing code/Medicare reimbursment
    By brwilliams45 in forum Billing/Reimbursement
    Replies: 0
    Last Post: 01-31-2014, 10:06 AM
  4. Documentation Guidelines - Can any one HELP
    By c.corona54@gmail.com in forum E/M
    Replies: 4
    Last Post: 10-23-2013, 10:39 AM
  5. Replies: 2
    Last Post: 03-24-2011, 07:06 AM

Tags for this Thread

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.