Twp Assistant Surgeons same case

Good morning,



I am in need of supporting information regarding billing of two assistant surgeons on the same case. We have a cardiovascular surgeon and his usual partner working as an assistant (-80) along with an outside MD also working as an assistant (-80). Not really sure why the need for two assistants as these are standard CABG cases.



Can both assistant surgeons bill for the same CPT codes and be paid? Any information you may be able to provide would be appreciated.



Thank you,


____________________________________________

Le Anne Walters, CPC

Certified Coder

Cypress Healthcare Partners

Phone: 575-648-2138

Fax: 575-648-2139

lwalters@chp-dod.com


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Comments

  • Here in California, state law requires 2 assistants for CABG cases. We had to go all the way to the administrative law judge to get RR Medicare to cover our services. However, most other payors have covered with no question.

    You may want to call your hospital and ask why 2 surgeons are used. If it is required by law, you should get a copy of the statute.

    Beth

    Beth Aldridge, CPC

    Coding Manager



    Northern California Medical Associates, Inc

    Phone: (707) 573-6145

    Fax: (707) 573-6932



  • I was not aware of that rule. Thank you so much Beth.


    ____________________________________________
    Le Anne Walters, CPC
    Certified Coder
    Cypress Healthcare Partners
    Phone: 575-648-2138
    Fax: 575-648-2139
    lwalters@chp-dod.com

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