Results 1 to 2 of 2

NP's as surgery assistants

  1. #1
    Red face NP's as surgery assistants
    Medical Coding Books
    I have a plastic surgeon who would like to hire a NP to be his surgery assistant. He will predominately be billing out 19357, 19342, and 19318. He is wondering 1) if insurances like BCBS, Aetna, Cigna, and Medcost, will reimburse him for the NP and 2) if so what charges or receipts can the NP receive. I have been unable to really find any information in any other blogs, and I was hoping someone here might be able to give some advice, examples etc.
    Thanks in advance!!

  2. Default
    I'm in WI. From what I could look up, 2 of your 3 codes allow an assist at surgery. We only have PA-Cs here, but what we get is: Aetna = 16% of allowed amount, Cigna = 16% fo allowed amount. Most payers are right around that same percentage. When I look into whether we would want a billable assist at surgery (NP or PA) I look at that providers CPT codes that are most used and see what codes allow an assist. If most of the codes do, then I would think it would be beneficial.

Similar Threads

  1. Multiple Assistants at Surgery
    By PattiL in forum Billing/Reimbursement
    Replies: 1
    Last Post: 05-22-2017, 12:57 PM
  2. Pathologist Assistants
    By cinful in forum Pathology & Clinical Laboratory
    Replies: 0
    Last Post: 09-13-2013, 08:25 AM
  3. Multiple Assistants during Surgery
    By Stephanied6 in forum Billing/Reimbursement
    Replies: 0
    Last Post: 03-20-2013, 09:51 AM
  4. Assistants at Surgery
    By Pam Brooks in forum General Surgery
    Replies: 4
    Last Post: 03-07-2011, 11:44 AM
  5. Surgery Assistants Modifier 80
    By RebeccaWoodward* in forum General Surgery
    Replies: 2
    Last Post: 01-13-2009, 07:52 AM

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.