Wiki HOW TO BILL FOR A CERTIFIED NURSE PRACTITIONER SURGICAL ASSIST

Create Wiki
V

valaspen

New
Messages
2
Location
Gulf Shores, AL
Best answers
0
I am new to coding CNP charges in an out pt surgical setting (POS 22). Our CNP is credentialed with her own NPI. How would I code her charges...

Example,
Cpt Code 64582

Example,
Cpt Code 30520 31259 31276 & 61728

Do I bill seperate claims for both my Doctor and the CNP? Do I bill one claim with a CNP modifier on my docs claim using only one code 64582?
I believe the correct modifier for my CNP is SA?

Thank you so much.
 
The claim for the assistant will go under the NP's name & NPI as a separate claim from the primary surgeon.
The appropriate modifier for NP/PA/CNS assisting at surgery is -AS not -SA.
1) The procedures must allow an assist. 2) The documentation must indicate who the assist was and briefly describe their role. 3) If a teaching hospital, there are additional requirements of either no qualified resident available or physician never involves residents to be documented.
In your examples above, not all codes permit for an assist, and one of the codes is not a current valid CPT.
All of this applies to both outpatient and inpatient surgery.
 
You must log in or register to reply here.
Top