Section 418.10416. Assistant surgeon.  


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  • (1) The carrier shall reimburse for an assistant surgeon service for those surgical  procedures  designated   by  CMS  as   allowing additional reimbursement   for surgical  assistant.    The   heath    care services   manual published separate from these rules will list the surgical procedures that allow reimbursement for assistant surgeon.

    (2)   Any of the following  may  bill  assistant  surgeon   services     using modifier -80:

    (a)   A doctor of dental surgery.

    (b)   A doctor of osteopathy.

    (c)   A doctor of medicine.

    (d)  A doctor of podiatry.

    (3)   A physician's assistant  or  an   advanced  practice  nurse      with     a specialty  licensure certification issued  by  the   state    may    bill assistant surgeon services using modifier -81.

History: 1998-2000 AACS; 2007 AACS.