Policy
An assistant surgeon actively assists the primary surgeon performing a surgical procedure. Assistant surgeons submit procedure code(s), with the appropriate modifier appended (80, 81, 82, or AS) to represent their service(s). The reimbursement amount is dependent upon the assistant surgeon modifier appended to the surgical code submitted. Only one assistant surgeon will be reimbursed for each eligible procedure.
Reimbursement Percentage
|
80
|
20% of the fee schedule
|
81
|
20% of the fee schedule
|
82
|
20% of the fee schedule
|
AS
|
17% of the fee schedule (Fee Schedule Amount x 85%) x 20%
|