Wiki Use of AS & 55 together

SassyMsDavid

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I work for an Ortho PA-C and he often assists on surgeries with visiting MD's. He almost always does the post-op care of these patients {99%}, as well as assists. What is the best way for me to code the procedure so that he gets the correct payment? {The visiting MD bills with modifier 54}. Thanks!
 
I am not exactly clear with what the situation is here. Is the PA assisting with the surgery in addition to performing all of the postop care for the patient?
 
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Bill the surgical procedure with just the AS only for the PA. Even if the surgeon only bills with the mod-54. Fracturing charges using modifier 54 and 55 for a provider for the same payer would not be appropriate and might bring unwanted attention to the practice for "exploding" charges.
 
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