Transcription of Assistant-at-Surgery Services Policy, Professional
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Assistant-at-Surgery Services Policy, Professional
UnitedHealthcare Medicare Advantage Reimbursement Policy CMS 1500 Policy Number 2021R9038B Proprietary information of UnitedHealthcare Medicare Advantage. Copyright 2021 United HealthCare Services , Inc. Assistant-at-Surgery Services Policy, Professional IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY This policy is applicable to UnitedHealthcare Medicare Advantage Plans offered by UnitedHealthcare and its affiliates. You are responsible for submission of accurate claims. This reimbursement policy is intended to ensure that you are reimbursed based on the code or codes that correctly describe the health care Services provided. UnitedHealthcare Medicare Advantage reimbursement policies use Current Procedural Terminology (CPT *), Centers for Medicare and Medicaid Services (CMS), or other coding guidelines.
Reimbursement for Assistant-at-Surgery services, when reported by the Same Individual Physician or Other Qualified Health Care Professional, is based on whether the As sistant Surgeon is a Physician (designated by modifiers 80, 81 or 82) or another Health Care Professional (designated by modifier AS) acting as the surgical assistant.
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