General Surgery | Horizon BCBSNJ Doctor & Hospital Finder
2013 Horizon BCBSNJ Quality Recognition Program. General Surgery . Use of Non-Participating Assistant Surgeon. Description: Percentage of procedures where the procedure required the services of an assistant surgeon who was not participating with the Horizon BCBSNJ network.
Co-Surgeons (Two Surgeons) – Health Insurance For Florida
The operative notes should indicate the other surgeon was a co-surgeon (not an assistant surgeon). The operative … (CMS) NHIC, Corp. Modifier Billing Guide, March 2008. 5. Medicare Physician Fee Schedule (MPFS) Payment Policy Indicators, 04/12/07. 6. Medicare Claims Processing Manual …
Update – Blue Cross Blue Shield Of Nebraska
2 Surgery Policy Update Effective December 1, 2011, Blue Cross and Blue Shield of Nebraska (BCBSNE) began following CMS’s Post-Op and Assistant Surgery Policy.
Code Edit Policy And Guidelines – Center Care
Indicators or a text reference to an attachment should not be placed in the NTE (Claim Note) … Code Edit Policy and Guidelines For Health Care Professionals. Definitions … CMS Assistant Surgeon /
Reimbursement Policies – Anthem.com
Reimbursement Policies … Anthem uses the multiple procedure indicators 2 and 3 as designated in the CMS National Physician Fee Schedule Relative Value File to determine which procedures are eligible for multiple surgery reductions, … Assistant Surgeon Services
OWCP Surgical Services – Global Surgery
OWCP Surgical Services – Global Surgery … (CMS) global surgery indicators are found in the CMS National Physician Fee … • Assistant surgeon (identified by modifiers –80, –81, –82, and –AS) …
Medical Coverage Policy | Coding And Payment Guidelines
This Policy provides an overview of coding and payment guidelines as they pertain to claims submitted to … Assistant Surgeon 3) Two Surgeons (Co-Surgery) … CMS Multiple Procedure Indicators …
Codapedia: Two surgeons Operating On The Same Patient, Same
Two surgeons operating on the same patient, same session: … and the assistant surgeon (modifiers 80, 81, 82, and AS). Some surgeries, however, require two surgeons … ( A link to the CMS site with a look up function for indicators is in the citations section of this article.) For …
Network Notification – CareSource
Network Notification _____ Date: December 7, 2012 Number: OH-P-2012 … • If a co-surgeon acts as an assistant in performing additional procedure(s) … CareSource considers codes with a CMS Co-Surgeon Indicators of 1 and 2 eligible for co-
SCAI Seeks Correction To Co-Surgeon Status Indicators For …
SCAI has submitted a request to CMS to “fix” the co-surgeon and assistant-at-surgery status indicators for the new TMVR codes released in the 2015 Medicare Phys
Palmetto GBA – Railroad Medicare – CPT Modifier 82
CPT modifier 82 is used to report services of an assistant surgeon. eServices … Screen defaults to current year. Under Type of Information, select Payment Policy Indicators.
Co-Surgeon / Team Surgeon Policy – SuperCoder
Co-Surgeon / Team Surgeon Policy … (CMS), or other coding guidelines. References to CPT or other sources are for … Assistant Surgeon services will not be reimbursed services in addition to the simultaneous bilateral submission
Co-Surgeon/Team Surgeon Policy – Oxford Health Plans
Oxford applies the payment indicators for HCPCS codes G0412-G0415 when adjudicating CPT codes 27215-27218 for … eligible for Team Surgeon services as indicated by the team surgeon modifier 66. CMS Files for Download … Assistant Surgeon and Co-Surgeon Services During the Same Encounter
Co-Surgeon / Team Surgeon – Medica
Same provider, for either co-surgeon or assistant surgeon services, multiple procedure ranking is applied separately for each co-surgeon and assistant
[Document Header] – Novitas Solutions
Some surgical procedures require a primary surgeon and an assistant surgeon. CMS has identified those surgical procedures for which an assistant surgeon may be reimbursed. … These categories are referred to as "Indicators" on the fee schedule database.
Co-Surgeon / Team Surgeon Policy – UnitedHealthcare Online
CMS-1500 Co-Surgeon / Team Surgeon Policy Policy Number 2016R0052A Annual Approval Date 7/8/2015 Approved … All codes in the NPFS with status code indicators "1" or "2" for "Co-Surgeons" are considered by … Assistant Surgeon and Co-Surgeon Services During the Same Encounter
New Online CMS-1500 (08/05) Tutorial Available 2007 BCBSIL …
Assistant Surgeon Providers 3 New Account Groups 6 … New Online CMS-1500 (08/05) Tutorial Available 2007 BCBSIL … • Clinical Quality Indicators Provider Tools • Radiology Quality Initiative (RQI) Program • Obesity Management Tool Kit
Payment Policy | Coding And Payment Guidelines
Assistant Surgeon Payment Rules We use the CMS table on the Medicare Physician Fee Schedule … Assistant surgeon may be paid with documentation to support medical necessity … CMS Multiple Procedure Indicators …
Home – Noridian
CMS Provider Minute Videos for Part A and Part B Providers and DMEPOS Suppliers. The Medicare Learning Network has a series of CMS Provider Minute videos on compliance for Part A and Part B providers and Durable Medical Equipment, Prosthetics, …
Medicare Covered Codes » Global Surgery Indicator Reference Chart
Global Surgery Indicator Reference Chart. By admin, August 14, 2013 4:29 pm. … (CMS) global surgery indicators are found in … Surgery. Assistant Surgery Services. Bilateral Billing Guidelines. Global Surgical Follow Up Care. Multiple Surgery …