Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) - Professional

In the December 2021 edition of Provider News, we announced that an update to our reimbursement policy titled Assistant at Surgery – Professional effective for dates of service on or after March 1, 2022. The effective date of the policy has changed. The policy will now be effective for dates of service on or after November 1, 2022.

 

This policy follows the Centers for Medicare & Medicaid Services (CMS) guidelines for the codes designated as ‘MPFS Assistant Surgery payment indicator ‘2’ “Always” requiring an assistant surgeon. Codes identified with MPFS Assistant Surgery payment indicators ‘0’, ‘1’, and ‘9’ are not allowed for reimbursement.

 

For specific policy details, visit the CT reimbursement policy page ME reimbursement policy page NH reimbursement policy page at anthem.com.

 

MULTI-BCBS-CM-004915-22