PLASTIC SURGERY

[blanche]

HELLO I AM SO GLAD THAT I FOUND THIS SITE I WOULD LIKE TO KNOW IF ANY OF YOU BILLED FOR PLASTIC SURGERY BEFORE I AM GOING TO START BILLING FOR A ADVANCE NURSE PRACTITIONER AND I NEED HELP I HAVE NOT BILLED SURGERY FOR YEARS I KNOW THAT YOU GET THE WHOLE CHARGE OF THE DOCTOR AND GET 25 PERCENT FOR ASSIST SURGEON BUT IN THIS CASE ITS A NURSE PRACTIONER DOYOU BILL THE DOCTOR ON BLOCK 24J RENDERING PROVIDER OR HOW DO YOU DO THIS PLEASE HELP ME
I WOULD REALY APPRECIATE IT THANK YOU ALSO I WILL BILL RECONSTRUCTION OF NIPPLE BILATERAL WITH AEROLA HOW DOES THIS BILL IS THIS CORRECT 19350 FOR BOTH OR WITH A MODIFIER ON THE NEXT LINE???
THANKS AGAIN FOR YOUR HELP

[Michele]

Hi,
   We hope you find this forum, and site useful.  That is why we started it! 

As far as who's info should be in 24J, it goes by the insurance carrier.  If the insurance carrier credentials the NP independently from the Dr, then you can use the NP's info in 24J.  Some insurance carriers do not credential the NP and in that case you need to use the supervising Dr's info.  Most now do credential them so you will be using the NP's info in most cases.

As for the 19350, you need to use the bilateral modifier to indicate both sides.  The description of the cpt code doesn't indicate bilateral. 

Good luck!
Michele

[4PLASTICS]

Actually, I would bill 19350-RT and 19350-LT ---- more and more insurance companies, including Medicare, are wanting to see this billing method instead of -50 modifier.   I am assuming she is assisting the surgeon and that is what you are billing for the Nipple/Areolar Reconstruction??  If this is true -- an assistant is not allowed for this procedure.

--Tracey