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Documentation showing CPT code reimbursment using 80 modifer

  1. #1
    Default Documentation showing CPT code reimbursment using 80 modifer
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    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 website table, but I can't find what I am looking for there.

    Thank you.

  2. #2
    Was it here?:

    There are a few others that might help... :
    "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:

    Hope that helps!

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