A physician’s surgical assistant services may be identified by adding the modifier 80 to the usual procedure code. 80 - Assistant Surgeon: This modifier pertains to physician’s services only.To report services of an assistant surgeon, the following surgical modifiers should be appended: Medicare does not recognize a registered nurse first assistant (RNFA) as a qualified Medicare provider. Medicare considers advanced registered nurse practitioner (ARNP), physician assistant (PA), and clinical nurse specialist (CNS) as non-physician practitioners. A physician, nurse practitioner, physician assistant or clinical nurse specialist who is authorized to provide such services under state law can serve as an assistant at surgery. (First Coast) would like to remind providers within jurisdiction N (JN) of the appropriate use of assistant at surgery modifiers and payment under the Medicare physician fee schedule (MPFS).Īn assistant at surgery is a provider who actively assists the physician in charge of a case in performing a surgical procedure. –80 Modifier: PA’s, APN’s, and CRNFA’s who are billing with their own National Provider Identifier (NPI) will not need to bill a modifier, unless they are billing as an Assistant Surgeon, then they must use the –80 modifier.Īppropriate use of assistant at surgery modifiers and payment indicatorsįirst Coast Service Options Inc. (Modifier SA is used when the PA, APN, or CRNFA is assisting with any other procedure that DOES NOT include surgery.) SA Modifier: A supervising physician should use this modifier when billing on behalf of a PA, APN, of CRNFA for non-surgical services. (Modifier AS to be used ONLY if they assist at surgery) The following modifiers should be used by the supervising physician when he/she is billing for services rendered by a Physician Assistant (PA), Advanced Practice Nurse (APN) or Certified Registered Nurse First Assistant (CRNFA):ĪS Modifier: A physician should use this modifier when billing on behalf of a PA, APN or CRNFA for services provided when the aforementioned providers are acting as an assistant during surgery. Supervision of Physician Assistant, Advanced Practice Nurse or Certified Registered Nurse First Assistant Benefits will be derived based on CMS designation for Assistant Surgeon. NOTE: Physicians acting as assistants cannot bill as co-surgeons. Should be submitted on those surgical procedures where an assistant surgeon is warranted. Medical and religious exemptions may apply.Modifier 80, 81, 82: Denote assistant surgeons. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter.
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