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Surgical Billing for First Assist Question


Guest bleu818

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Guest bleu818

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 :)

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  • 3 weeks later...

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.

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