–80 Modifier: PA’s, APN’s, and CRNFA’s who are billing with their own National Provider Identifier (NPI) will not need to bill a modifier, unless they are billing as an Assistant Surgeon, then they must use the –80 modifier.Īppropriate use of assistant at surgery modifiers and payment indicatorsįirst Coast Service Options Inc. (Modifier SA is used when the PA, APN, or CRNFA is assisting with any other procedure that DOES NOT include surgery.) SA Modifier: A supervising physician should use this modifier when billing on behalf of a PA, APN, of CRNFA for non-surgical services. (Modifier AS to be used ONLY if they assist at surgery) The following modifiers should be used by the supervising physician when he/she is billing for services rendered by a Physician Assistant (PA), Advanced Practice Nurse (APN) or Certified Registered Nurse First Assistant (CRNFA):ĪS Modifier: A physician should use this modifier when billing on behalf of a PA, APN or CRNFA for services provided when the aforementioned providers are acting as an assistant during surgery. Supervision of Physician Assistant, Advanced Practice Nurse or Certified Registered Nurse First Assistant Benefits will be derived based on CMS designation for Assistant Surgeon. NOTE: Physicians acting as assistants cannot bill as co-surgeons. Should be submitted on those surgical procedures where an assistant surgeon is warranted. Modifier 80, 81, 82: Denote assistant surgeons.
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