Is your assist a PA or MD?
Either way, you would bill same codes as surgeon with modifier AS for PA or 80 for MD. Some payers don't recognize AS for PA's and use 80 for both PA's and MD's.
Your documentation should reflect that there was an assist present and what parts if not all they assisted in.
Normally, the physician surgeon will check or write in who the PA or MD was...the assists don't do seperate charge tickets.
Our cardiothoracic docs have a PA assisting every single time they do surgery, so for us, it's easy to know because Dr. A always has PA Jane and Dr. B always has PA Doe.
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