ARCPC9491
True Blue
When billing for a PA for assist at surgery - we use modifier AS ... codes billed same as way as surgeon (as long as assist is allowed of course) but when we bill this to insurance (Tricare specifically and I had one VA Premier patient today....) they tell us they don't recognize the AS modifier and to use 80. However, as well all know, 80 mod is for MD's... not for PA's... so I'm a little confused... and I don't remember this ever being an issue until now... it's rather strange... so I was thinking since these are PA's (and can't be credentialed...(as far as know w/ these plans)...that since we will billing under the MD's numbers...AS would "kick out" because it's billed w/ MD's numbers...thus causing a conflict...but they tell us no, that's not it, they just don't recognize it...
insight...thoughts...anyone??
insight...thoughts...anyone??