Assist surgeons and modifiers?!
Question: Assist surgeons and modifiers.?
i need the difference between an as modifier and a 80 modifier for an assist surgeonHealth Question & Answer
Answers:
Modifier 80
Definition: (80) Assistant Surgeon, (81) Minimum Assistant Surgery, (82) Assistant Surgeon when qualified resident surgeon not available, (AS), Non- MD surgical assistant.
A physician acting as an assistant at surgery should bill modifier 80, 81, or 82 and is eligible for 20% reimbursement of the primary surgeons allowable, if procedures are eligible for assistance as determined by CMS.
Non-MD practitioners acting as an assistant at surgery should bill with modifier AS and are eligible for a 15% reimbursement of the primary surgeons allowable, if procedures are eligible for assistance as determined by CMS.
Exception: Non-MD practitioners submitting claims for our Healthy Option members, should use modifier 80.
The assistants claim must be billed with the same CPT code and in the same manner as the primary surgeon. If the surgeons claim must be reviewed, the same determinations will apply to the assistants claim.
Exception: For OB care and delivery services (when using procedure code 59510). If the primary surgeon bills with 59510, the assistant should bill with procedure code 59414, with appropriate modifier (80, 81,82 or AS).
Health Question & Answer
Definition: (80) Assistant Surgeon, (81) Minimum Assistant Surgery, (82) Assistant Surgeon when qualified resident surgeon not available, (AS), Non- MD surgical assistant.
A physician acting as an assistant at surgery should bill modifier 80, 81, or 82 and is eligible for 20% reimbursement of the primary surgeons allowable, if procedures are eligible for assistance as determined by CMS.
Non-MD practitioners acting as an assistant at surgery should bill with modifier AS and are eligible for a 15% reimbursement of the primary surgeons allowable, if procedures are eligible for assistance as determined by CMS.
Exception: Non-MD practitioners submitting claims for our Healthy Option members, should use modifier 80.
The assistants claim must be billed with the same CPT code and in the same manner as the primary surgeon. If the surgeons claim must be reviewed, the same determinations will apply to the assistants claim.
Exception: For OB care and delivery services (when using procedure code 59510). If the primary surgeon bills with 59510, the assistant should bill with procedure code 59414, with appropriate modifier (80, 81,82 or AS).
Health Question & Answer