Wiki Reimbursing Co- ssistant Surgeon with secondary procedure

kelliey

Contributor
Local Chapter Officer
Messages
22
Location
Fruita, CO
Best answers
0
When two surgeons report assist on one of the two procedures preformed in that session how should the secondary procedure and assist be reimbursed?
Example:
The CPTs performed in the session are:
Primary procedure 58570 reimbursing at 100% of allowed
Secondary procedure 57288 reimbursing at 50% of allowed.
Assist (80) reimbursement 20%.

Surgeon 1
58570(80) - reimbursed at 20% of allowed
57288 - reimbursed at 50% of allowed or is this now considered primary and process at 100%

Surgeon 2
58570 - reimbursed at 100% of allowed
57288(80) - reimbursed at 20% of 50% of allowed or 20% of allowed
 
Top