tamale79
Networker
Hello,
I have a question about the wording in the CMS guidelines about charging for an assistant surgeon. Page 29 (https://www.cms.gov/files/document/2020-physician-fee-schedule-guide.pdf) states, "1 = Statutory payment restriction for assistants at surgery applies to this procedure. Assistants at surgery may not be paid."
I am interpreting this as - Do NOT charge an assistant for this code, it is not legally allowed. My billing manager and the drs are interpreting that "may" as - it might not get paid but try it.
Does anyone have any non-ambiguous documentation that I could refer to??
Thank you!
I have a question about the wording in the CMS guidelines about charging for an assistant surgeon. Page 29 (https://www.cms.gov/files/document/2020-physician-fee-schedule-guide.pdf) states, "1 = Statutory payment restriction for assistants at surgery applies to this procedure. Assistants at surgery may not be paid."
I am interpreting this as - Do NOT charge an assistant for this code, it is not legally allowed. My billing manager and the drs are interpreting that "may" as - it might not get paid but try it.
Does anyone have any non-ambiguous documentation that I could refer to??
Thank you!