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Providing free resources and useful informations for Physicians,
Office Managers, Medical Billers and Medical Coders
Billing for your PA (Physician Assistant)
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These are services that are generally performed and provided services under the
Medicare coverage is also determined based on the State Law where the PA is
currently processing.

You will find Medicare Benefits policy (see below)...

Chapter 15 - Medicare Benefit Policy Manual on Covered Medical ad Other
Health Services (Rev. 157, 06-08-12)  --- SEE SECTION 190 for Physician
Assistant (PA) Services


Billing for PA Services:

PA performing at the physician offices are reimbursed at 85% of the physician
fee schedule.

When the PA is performing as
Assistant-at-Surgery services - they are
reimbursed at 85% of 16% of the physician fee schedule. ((this is the Assistant
Surgeon's (Physician/M.D.) fee schedule which is 16% of the Global Fee Schedule)).

Your modifier for PA as Assistant at Surgery use
AS modifier!

Click the file below and..

see section 110 - Physician Assistant (PA) Services Payment Methodology
see section 110.1 - Limitations for Assistant-at-Surgery Services

Read the Chapter 12 - Medicare Claims Processing Manual for
Physicians/Nonphysician Practitioners (Useful Guidelines


Reference: CMS Chapter 12 Claims Processing Manual for Physicians and
Non-Physician Practitioners ((Rev. 2373, 12-21-11))

Related Reference: CMS Chapter 15 - Medicare Benefit Policy Manual on
Covered Medical ad Other Health Services (Rev. 157, 06-08-12)

Website:
www.cms.gov