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Pa billing

  1. #1
    Question Pa billing
    Medical Coding Books
    Hi, looking for help in billing for a Physician Assist. Our Orthopedict surgeon has a PA working in his office. At this point in time, both the physician and the PA are seeing the patients. I cannot find a modifier to use to indicate that one of the doctors is a PA, I did mark him as a mid-level provider, is that all I need to do. Also, if both doctors see the pt and the pt has a copay, how do I handle that, are we supposed to take a copay for both visits. Thanks for your help.

  2. #2
    Baton Rouge
    Are the doc and PA both seeing the patient on the same day for the same reason? Sounds like that falls under "incident-to" which case there is only 1 visit billed, so only 1 copay charged.
    Meagan Strauss, CPC, CEMC
    Coding Coordinator
    The NeuroMedical Center
    Baton Rouge, LA

  3. #3
    Default Pa billing
    ok, thanks. also can you tell me, can we bill incident to for medicare patients? from what I am reading, it looks like we can't bill diagnostic testing as incident to, but can bill the E/M, is that correct?

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