Jul 3rd, 2014 - swalker216
I need another opinion please
On the MPFS schedule for assistant surgeons, the codes describing whether they can get paid or not. I am getting different interpretations for the descrip.
0-Payment restriction for assistants at surg applies to the procedure unless supporting documentation is submitted to establish medical necessity.
1-Statutory payment resstriction for assistant surgeons applies to this procedure.
Assistant at surgery may not be paid.
2-Payment Restrication for assistants does not apply to this procedure. Assistant
surgeons may be paid.
I am having trouble with "1"- The PA insists that this will be paid if we send notes.
I am saying it won't be paid.
Anyone else have any ideas?
Jul 9th, 2014 - Codapedia Editor 1,399
re: Assistant surgeon
I agree with you.
0: may or may not be paid, need to show medical necessity.
1: no payment
2: payment without notes--assumed to be medically necessary.