Michigan Administrative Code (Last Updated: November 16, 2016) |
Department LR. Licensing and Regulatory Affairs |
Workers Compensation Agency |
Chapter Workers' Compensation Health Care Services Rules |
Part 4. SURGERY |
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.