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Thread: Assistant Surgeon on same claim

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    Default Assistant Surgeon on same claim

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    I know this sounds crazy, but can someone guide me to the documentation stating I cannot bill a primary surgeon and an assistant surgeon on the same claim. I bill for a group of Ob/gyns and very commonly they assist one another. We bill under the same NPI and tax id. I cannot find ANY documentation stating they cannot be billed on the same claim. I bill each line appropriately with the correct physician listed and a modifier 80 on the assist but priority health is telling me this comes up against a new edit. I cannot find this edit anywhere!! Please help.
    Last edited by carolmsekuris; 02-16-2012 at 04:02 PM. Reason: bad spelling

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