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Thread: Billing for a PA

  1. #1
    Join Date
    Apr 2007

    Default Billing for a PA

    AAPC: Back to School
    We recently hired a PA to work in our practice and it has been a long time since I did any billing for a PA. Is it the same as billing for the NP. He does have his own NPI and a Medicare UPIN# which now is invalid. Any help in refreshing my memory would be greatly appreciated.


  2. #2
    Join Date
    Apr 2007
    Nashville AAPC Chapter



    The medicare website has a great tool to use for billing incident to. You didn't say if the PA will be supervised or not. It is identical to a NP.

    A side note: some stated allow a NP to admit patients, some do not. PA's can never admit patients as their liscensure limits that ability, just in case you are billing any Admit CPT codes.

    Hope this helps.

  3. #3


    Hi Rosie,

    It is going to depend on which state you're in and the carriers in your area. Some here do allow a PA to be billed out under their own and some require a supervising MD. I would start with your Medicare carrier and then Medicaid and the larger commerical carriers.

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