I have a primary surgeon that is using another surgeon as an assistant, but all he is using for his documentation for this is the following:

"Again, Dr. >____ assisted with patient positioning, prepping and draping, retraction, closing and dressing application. It was necessary to have him there as an assistant."

There is no mention of the assisting surgeon in the procedure description, just that note at the end. Is this enough to justify having him as an assistant?

Please advise. Thanks!

Deb Larsen, CPC