Wiki Proctoring Surgeon

[Jaslene08]

Is there a modifier that the proctoring physician uses when billing for a surgery?
Also if the same physician who is proctoring is in the same group, do we bill for both the proctoring and the rendering physician?
PLEASE HELP! THANKS!!

 

[thomas7331]

You cannot bill for both - proctoring is a teaching arrangement only. There would need to be medical necessity in the patient's condition to warrant billing for multiple surgeons. I'm not aware of a regulation on which provider should bill, but when our facility had this situation, we billed under the physician performing the procedure, not the one proctoring.

 

[Jaslene08]

thank you.