Material adverse change (MAC)

 

Beginning with dates of service on or after March 1, 2022, the Assistant Surgeon Services commercial reimbursement policy will be renamed Assistant at Surgery (Modifier 80, 81, 82, AS).  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. Additionally, the Assistant Surgeon Coding list will be retired.   


For more information about this policy, visit the Reimbursement Policy page at anthem.com/provider.


1460-1220-PN-GA



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December 2021 Anthem Provider News - Georgia