DENIAL-ASSISTANT SURGEON – MODIFIER 80 OR AS

Above scenario, surgeon’s claim was paid (3rd screen shot) and Assistant surgeon’s claim was denied as multiple physicians / assistant are not covered.



MEDICAL RECORDS AVAILABLE – (SUREGEON AND ASSISTANT SURGEON)

Received denial from --------------- stating assistant surgeon is not allowed. Found reports available for both surgeon and assistant surgeon. Appeal the claim with both the records to let insurance know that service of assistant surgeon was required.

PS PRINT TASK SHOULD BE RAISED AFTER PREPARING APPEAL

MEDICAL RECORDS NOT AVAILABLE – (SUREGEON AND ASSISTANT SURGEON)
Received denial from --------------- stating assistant surgeon is not allowed. Found no reports available to appeal the claim.
Please share the reports for us to appeal the claim.
CLT : MEDICAL RECORDS TASK