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Answers to Compliance and Medical Coding Questions.
  1. Janice Posted 2 month(s) agoRelated Topics

    when this is at the end of the op note and both signatures are on it should i be billing 80 modifier??? it doesn't say who did what

  2. SuperCoder Posted 2 month(s) ago

    To append modifier 80 to a procedure code, an assistant surgeon should have assisted an operating or main surgeon during the entire procedure. The assistant surgeon performs under the direct supervision of the main surgeon and is often in the same specialty as the principal surgeon.

    For billing, the principal surgeon submits the procedure code for the surgery to the payer. The assistant surgeon submits the same procedure code with modifier 80. Different payers would have their own preferences for reimbursing for assistant surgeons.

    Therefore, in this case, before going ahead with the final billing, we would suggest you to be sure as to who performed the surgery and in what circumstances the assistant surgeon was needed. Hope this helps. Thank you.

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  • Posted by 30140 Janice, 2 month(s) ago. There are 2 posts. The latest reply is from SuperCoder.