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Q:

What do you recommend for surgical assist charges, in the form of a percentage (%) of the primary surgeon's fees?

A:



Attempting to coordinate your fee as a percent of the primary surgeonís fee would be time consuming and might be considered a form of fee setting.

We recommend assistant surgical fees be billed at 100% of your fee for the surgical procedure and letting the payor discount it according to their policy. Medicare pays assistant surgeons 16% of the global fee schedule rate for the surgical procedure. You will modify your reported CPT code with the modifier -80 (use -81 or -82 when appropriate). This policy does inflate your accounts receivable, but insures that a discounted fee is not further discounted by the payor.

 

Russell Still (bio...)
Executive Vice President

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