21154 $2,034.89 21146 $1,479.00 If a physician appends modifier AS to procedure codes for which he/she acted as assistant at surgery, these codes will be denied (see above for modifiers that should be used by physicians). 21081 $1,684.94 iv(hm5I s>OAhz$ 5)hU!a&L %/EL.Li2V^](Q%c?Vc yA^A*2=Fi7^? ' 31 0 obj 20520 $135.00 Gastric Bypass for Morbid Obesity. %PDF-1.4 % 21076 $900.00 1. 1 Modifiers" Current Procedural Terminology (CPT). CPT Code Reimbursement However, those general guidelines from Chapter I not discussed in this Chapter are nonetheless applicable. which insurance is primary. Medicare physician fee schedule database (MPFSDB) assistant at surgery payment indicators. The AMA is a third-party beneficiary to this license. 20663 $404.00 When a surgeon is unavailable to serve as an assistant, a qualified surgical resident or other qualified health care professional, such as a nurse practitioner or physician assistant with experience in assisting, may participate in operations, according to the ACSStatements on Principles. PDF Surgeon Assistant Surgeon and Assistant at Surgery Guidelines As for S2068, many payors who recognize this code generally do not recognize payment for an assistant or co-surgeon on the same code. 0000011084 00000 n Assistant surgeons submit procedure code(s), with the appropriate modifier appended (80, 81, 82, or AS) to represent their service(s). if(pathArray[4]){document.getElementById("usprov").href="/web/"+pathArray[4]+"/help/us-government-rights";} 21044 $817.33 These rates are provided for informational purposes only and are not to be considered a guarantee of payment. Explore reports on this topic from the Council on Medical Education presented during the AMA Interim and Annual Meetings. Mohs surgical procedure may extend beyond the initial date of service, thus there are 3 Add-on codes (+17312, +17314 . 21088 $474.74 <> 0000071003 00000 n registered for member area and forum access, https://www.cms.gov/apps/physician-fee-schedule/search/search-results.aspx?Y=0&T=1&HT=0&H1=69990&M=5, https://www.cms.gov/apps/physician-fee-schedule/search/search-criteria.aspx, http://www.cms.gov/Medicare/Coding/ect=/NationalCorrectCodInitEd/NCCIEP/list.asp, http://www.cms.gov/Outreach-and-Edus/downloads/How_to_MPFS_Booklet_ICN901344.pdf, https://www.novitas-solutions.com/partb/reimbursement/mfsdbhelp.html, https://www.noridianmedicare.com/partb/fees/docs/2013/2013_mpfs_indicator_descriptors.pdf. 21086 $1,795.27 Check Medicare Physician Fee Schedule (MPFS) Indicator/Descriptor Lists.

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