Guest bleu818 Posted May 16, 2013 Share Posted May 16, 2013 I work for a hand surgeon and many of our surgeries do not qualify for 1st assist reimbursement. I was wondering if we do multiple procedures in 1 surgery with some qualifying for reimbursement and some not, can I bill for all the CPTs since I was there or just the ones which qualify for 1st assist? For example: ORIF of distal radius qualifies and carpal tunnel release does not. If we do both in the same surgery, can I bill for both or just the ORIF? Thanks in advance :) Link to comment Share on other sites More sharing options...
Arizona Dave Posted June 7, 2013 Share Posted June 7, 2013 It would depend on the insurance company and policy. Your best bet is to use a company that specializes in first assist billing like PA4FREE.COM. We have had great results with them. Link to comment Share on other sites More sharing options...
burnpac Posted June 7, 2013 Share Posted June 7, 2013 You bill for every procedure code done and let the carrier sort it out. We do a lot of hand, and the same procedure generate payments and denials from different carriers. Make sure the surgeon always documents the medical necessity of the first assist in his / her OP note. Sometimes first assist is allowed on minor procedures with documented medical necessity. Link to comment Share on other sites More sharing options...
2mederi1 Posted January 14, 2014 Share Posted January 14, 2014 You can bill for both. You should bill for all procedures and use proper modifiers. Link to comment Share on other sites More sharing options...
BrownMaria Posted April 17, 2014 Share Posted April 17, 2014 This would depend and vary depending on each individual insurance company. One needs to understand and clarify these things with the insurance company they are dealing with. Link to comment Share on other sites More sharing options...
roombroker03 Posted September 4, 2014 Share Posted September 4, 2014 In any case suppose it is possible that patients have crisis circumstances in need of a reaction yet just represent a nearly mellow risk. Link to comment Share on other sites More sharing options...
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