Tierni Posted Mon 18th of April, 2016 17:06:38 PM
Title 22 states a 2nd assist is required when performing a cardiovascular bypass procedure, but Medicare does not honor this ruling, and will not pay for a second assist.
Therefore making it appear unnecessary to submit a claim for the services of the 2nd assist. However, we are being told by a seasoned biller/coder, we should still submit the claim with a medicare "reporting only" modifier.
Do you agree? And if so, what would the appropriate modifier be?
SuperCoder Answered Tue 19th of April, 2016 08:36:52 AM
The appropriate modifier is 8P(The 8P reporting modifier is available for use only with CPT II codes to facilitate reporting a denominator eligible case when an action described in a measure is not performed and the reason is not specified.)