Policy SAS01252012RP IMPORTANT NOTE ABOUT THIS REIMBURSEMENT …
Reimbursement for surgical assistant services is based on whether the assistant is a Physician or other health care professional. Medicare … an assistant surgeon or surgical assistant modifier (80, 81, 82, or AS).
Medical Coverage Policy Coding And Payment Guidelines
Medical Coverage Policy Coding and Payment Guidelines Device/Equipment Drug Medical Surgery Test Other Effective Date: 11/15/2011 … o Modifier 80: Assistant surgeon (MD or DO) who assisted on the majority of the case o Modifier 81: Assistant surgeon …
Empire BlueCross BlueShield Professional Reimbursement Policy
Empire BlueCross BlueShield Professional Reimbursement Policy NY 0009 Page 1 of [12] Empire HealthChoice HMO, Inc.,and/or … CPT codes reported with an Assistant Surgeon modifier are subject to multiple surgery reimbursement rules, if applicable.
Assistant Surgeon Policy – Medicare
Assistant Surgeon Policy Policy Number 2016R5000C Annual Approval Date 11/11/2015 Approved By Payment Policy Oversight Committee … reimbursement for services using an Assistant Surgeon modifier unless a state mandate exists that
Assistant Surgeon (Modifiers 80, 81, 82, AS) Payment Policy
The assistant is generally in the same specialty as the operating surgeon. Authorization requirements … necessity of an assistant surgeon when a claim is submitted with an assistant surgeon modifier.
Claim Reimbursement Policies For Common Services
Claim Reimbursement Policies for Common Services … Reimbursement for assistant surgeon services is generally provided at 20 percent of the allowed amount of the surgical procedure. … Modifier 26 identifies the physician or professional component.
Obstetrical Billing Guidelines – Blue Cross And…
Obstetrical Billing Guidelines Services included in the Global OB CPT®’ Code 59400 (Vaginal … • Maternity care is subject to a one-time office visit copayment. For BCBS plans with a copayment, this copayment should be … Assistant Surgeon Charges …
Claims Coding And Reimbursement Policy Update
Subject: Claims Coding and Reimbursement Policy Update … Effective 07/01/2004 and modifier ‘-SL’. … Assistant surgeon designations are based on recommendations by the American College of Surgeons. 21046 21048 21070 21100 21208
MODIFIER USE IN CLAIMS PROCESSING Definition Impact
Blue Cross Blue Shield of Oklahoma has reviewed all of the CPT-4 modifiers and will be recognizing and reacting to them as … MODIFIER USE IN CLAIMS PROCESSING … -80 Assistant surgeon When assistant surgeon is appropriately used,
BCBS Of Texas – Accepted modifier – Medical Billing CPT …
BCBS of Texas – Accepted modifier, MODIFIERS – Professional Claims BlueCross and BlueShield of Texas/HMO Blue Texas accept all valid CPT and HCPCS modifiers into the claims processing systems. The following modifiers have logic associated with them that might impact the claim. Modifier 22 …
MODIFIERS Professional Claims – BCBSTX
2 of 2 Assistant Surgeon Modifiers Modifier 80, 81, 82: Denote assistant surgeons. Should be submitted on those surgical procedures where an assistant surgeon is warranted.
How To Bill For Surgical assistant Services – BCBSLA
How to bill for surgical assistant services Blue Cross Blue Cross reimburses the following provider types for procedures approved to have an assistant at surgery:
Payment Of Assistant At Surgery Services In A Method II …
To bill for these services, you should use Modifier 80 (assistant surgeon), 81 (minimum assistant surgeon), or 82 (when qualified resident surgeon not available). You should also use Modifier AS when you need to indicate that a PA,
MODIFIERS Professional Claims – BCBSTX
Assistant Surgeon Modifiers Modifier 80, 81, 82: Denote assistant surgeons. Should be submitted on those surgical procedures where an assistant surgeon is warranted. NOTE: Physicians acting as assistants cannot bill as co-surgeons.
BlueCross BlueShield Of Georgia – Bcbsga.com
Visit Blue Cross Blue Shield of Georgia for group health insurance plans in Georgia. BCBSGA. … In the event of a conflict between a reimbursement policy described below and the applicable member's benefit contract or the terms of the … Assistant Surgeon Services: Bundled Services and …
Professional Claims 05032010 – BCBSTX
MODIFIERS – Professional Claims … Assistant Surgeon Modifiers Modifier 80, 81, 82: Denote assistant surgeons. Should be submitted on those surgical procedures where an assistant surgeon is warranted. NOTE: Physicians acting as
Modifier Reimbursement Effective 7/1/14 – BCBSTX
Modifier Reimbursement Effective 7/1/14. Effective 7/1/14, the reimbursement percentage for the following modifier will be revised as indicated below.
Empire BlueCross BlueShield Professional Reimbursement Policy
Empire BlueCross BlueShield Professional Reimbursement Policy. modifier 50, adding the charges. Reimbursement will be made for the added line. This rule is based on
Assistant Surgery Services – Anthem Health Plans, Inc.
Visit Anthem Blue Cross Blue Shield for group health insurance plans. Anthem. Assistant Surgery Services From . Through . Assistant Surgeon Policy . 01/01/16 Assistant Surgery Nevers Coding Chart . 01/01/16 Assistant Surgeon Policy . 1/1/2015 . 12/31/2015 . Assistant Surgery Nevers Coding Chart …
Obstetrical Billing & Multiple Birth Guidelines Quick …
For BCBS plans with a copayment, … Obstetrical Billing & Multiple Birth Guidelines Quick Reference Guide . … Assistant Surgeon Charges (Single or Multiple Births) • When billing Assistant Surgeon charges, please use the appropriate modifier(s) …