Mich. Admin. Code R. 418.10416

Current through Vol. 24-21, December 1, 2024
Section R. 418.10416 - Assistant surgeon

Rule 416.

(1) The carrier shall reimburse for an assistant surgeon service for those surgical procedures designated by CMS as allowing additional reimbursement for a surgical assistant. The surgical procedures allowing reimbursement for an assistant surgeon shall be provided separate from these rules on the agency website, www.michigan.gov/wca.
(2) Any of the following may bill assistant surgeon services using modifier -80:
(a) A doctor of dental surgery.
(b) A doctor of osteopathy.
(c) A doctor of medicine.
(d) A doctor of podiatry.
(3) A physician's assistant or an advanced practice nurse with a specialty licensure certification issued by the state may bill assistant surgeon services using modifier -81.

Mich. Admin. Code R. 418.10416

1998-2000 AACS; 2007 AACS; 2018 MR 5, Eff. 3/15/2018