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    Modifier: ROLE

    ROLE

    This modifier indicates the capacity in which the service provider is functioning. This is an explicit modifier, however if no role modifier is identified, the system will assume the service provider functioned as the surgeon.

    The surgical assistant (SA) modifier may not be claimed with the following role modifiers by the same physician for the same service for the same patient during the same encounter. ASIC, MSURG2, MSRGN, MSRGP, SAQS, SSOS, SSCVT, SSST

    The following modifiers are to be used when:

    Codes:

    Code:Description:
    ANE
    ANESTHETIST
    Explicit

    The physician functions as the Anesthetist and is claiming the listed anesthetic benefit.

    ANEST
    ANESTHETIST TRC
    Explicit

    The physician functions as the Anesthetist and is claiming a benefit based on the duration of the anesthetic.

    ASIC
    ASSISTANCE INTERVENTIONAL CARDIOLOGIST SECOND SURGEON
    Explicit

    The physician is an interventional cardiologist providing assistance at a percutaneous coronary angioplasty or percutaneous closure of ASD.

    MSRGN
    SECOND NEUROSURGEON MICROSURGERY
    Explicit

    A second neurosurgeon utilizing microsurgical technique to perform a specific surgical procedure.

    MSRGP
    SECOND PLASTIC SURGEON MICROSURGERY
    Explicit

    A second plastic surgeon utilizing microsurgical technique to perform a specific surgical procedure.

    MSURG2
    2ND MICROSURGERY
    Explicit

    A second surgical specialist utilizing microsurgical technique to perform a specific surgical procedure.

    SA
    SURGICAL ASSISTANT
    Explicit

    Service provider functions as a surgical assistant for a surgical procedure. This modifier may be claimed when hospital regulations or bylaws require an assistant for a particular surgical procedure.

    SAQS
    SURGICAL ASSISTANT QUALIFIED SECOND SURGEON
    Explicit

    A surgical specialist provides surgical assistance in unusual circumstances. This modifier may be claimed when the complexities of a particular surgical procedure on a particular patient require a second qualified, surgical specialist assisting. May only be billed when the surgery requires the assistance of a qualified surgeon who is currently in an active surgical practice. If the surgery does not require a qualified surgeon, the SA (Surgical Assistant) modifier should be used.

    SOSS
    SECOND ORAL SURGERY SURGEON
    Explicit

    A qualified oral and maxillofacial surgeon functions as a second surgeon during complex oral and maxillofacial surgery. This modifier may be claimed when the second surgeon has actively participated in the planning for and performance of the procedure. Only the second oral and maxillofacial surgeon's surgical time may be claimed; time spent in planning the procedure may not be included in the claimed time.

    SSCVT
    SECOND SURGEON CARDIOVASCULAR OR THORACIC SURGEON
    Explicit

    A cardiovascular or thoracic surgeon functions as a second surgeon on a cardiovascular thoracic surgical team.

    SSOS
    SECOND SURGEON ORTHOPEDIC SURGEON
    Explicit

    An orthopedic surgeon functions as a second surgeon during complex orthopedic surgery. This modifier may be claimed when the second surgeon has actively participated in the planning for and performance of the procedure. Only the second orthopedic surgeon's surgical time may be claimed; time spent in planning the procedure may not be included in the claimed time. May only be billed when the surgery requires the assistance of a qualified surgeon who is currently in an active surgical practice. If the surgery does not require a qualified surgeon, the SA (Surgical Assistant) modifier should be used.

    SSPS
    SECOND SURGEON PODIATRIC SURGEON
    Explicit

    A podiatric surgeon functions as a second surgeon during complex podiatric surgery. This modifier may be claimed when the second surgeon has actively participated in the planning for and performance of the procedure. Only the second podiatric surgeon's surgical time may be claimed; time spent in planning the procedure may not be included in the claimed time.

    SSST
    SECOND SURGEON SURGICAL TEAM
    Explicit

    A surgical specialist functions as a second surgeon of a second surgical team.

    2ANES
    ANESTHETIST TRC 2
    Explicit

    The physician functions as the Anesthetist and is claiming anesthetic time premium units based on the duration of the anesthetic.