tci General Surgery Coding Alert - 2011 Issue 8

Reader Question: Seek RNFA Assistant-at-Surgery Rules

Question: We have some Registered Nurse First Assistants (RNFAs) in our group, and we've been informed that when they assist in surgery for hospital inpatients, we can bill incident to services using the surgeon's National Provider Identifier (NPI) number. Is this correct?Michigan SubscriberAnswer: You are right to be wary of this advice. Incident-to does not apply in the inpatient setting because nurse services are built into the facilities' fees. Any nonhospital paid staff must bill independently.Blue Cross Blue Shield (BCBS) of Mich. States that RNFAs should file under their own NPI using the CPT® code with modifier...

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