Medicare Compliance & Reimbursement - 2000 Issue 10
Reader Question: Assistant Surgeon
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Article Overview
This article addresses a reader question about postoperative consultation billing in a scenario involving assistant surgeon services and later follow-up evaluations. It is aimed at coders and billing staff who need to understand how practice relationships can affect postoperative period handling and evaluation and management reporting. The discussion focuses on general postoperative billing concepts, assistant surgeon involvement, and the type of modifier guidance that may apply in a same-practice setting.
Why This Topic Matters
Postoperative encounters can be difficult to classify when the physician was previously involved as an assistant rather than the primary surgeon. This topic matters because practice structure and postoperative period rules can change how follow-up services are interpreted and reported.
What You Will Learn
- How postoperative services may be viewed when a physician previously assisted in surgery
- How practice affiliation can affect postoperative period considerations
- What general type of modifier guidance may be relevant to a later evaluation and management visit in a postoperative setting
- How to think about consultative services occurring after surgery in a same-practice context
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Physician offices
- Revenue cycle professionals
Modifiers Discussed
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