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C-Section Assist

If a provider assists in a c-section do they need separate documentation from the primary surgeon documenting their roll during the procedure or is the primary surgeon listing them as the assistant enough documentation to bill for a c-section assist?

My assistant surgeon is stating that the following documentation is enough for me to bill for her assist on a c-section:

Cesarean Section Procedure Note

Indications: Arrest of descent in 2nd stage

Pre-operative Diagnosis: G1P0 at 38w4d, medical induction of labor for cholestasis of pregnancy, prolonged rupture of membranes, arrest of descent in 2nd stage

Post-operative Diagnosis: Same, s/p PLTCS, viable female infant

Surgeon: Geoffrey S. Maly, MD

Assistants: Annika Maly, MD

Anesthesia: Epidural anesthesia

ASA Class: 1

Procedure Details

Medical Billing and Coding Forum

TAVR Assist Surgeon issues

Medicare denying cpt code set: 33361-80,Q0 missing modifier. When condition merits 3rd surgeon ( assistant), is anyone getting past this denial of missing modifier? Cant get passed this first rejection so documentation can be submitted to validate assistant. Rep states its the modifier that is causing code set to reject. no other modifier describes Assistant ( MD ) but 80… correct?

thanks for any/all insights.
jro

Medical Billing and Coding Forum

Seeking compliance individual to assist office

We are looking to outsource a compliance person to help get our office in order. We need someone to come in and evaluate our practice for possible compliance issues and steer us in the correct direction. Does anyone have any suggestions of someone that might be considered for this? We are in Alabama so would certainly love to find someone close to our area.

Thank you in advance!!

Medical Billing and Coding Forum