Test your knowledge about...

Surgical Assistance Fees

This short self-quiz will test your understanding of MSP billing policies and procedures for surgical assistance fees.

Question 1

A percutaneous nephrostomy (fee item S00978 at $288.93) is performed. Which of the following is the applicable billing?

  (a) Fee item 00195 (assistance at surgery less than $317.00 inclusive)
  (b) Fee item 00845 (cardiologist assist for first hour or fraction thereof)
  (c) Assist fees are not payable as the procedure is prefixed with the letter “S”

Question 2

A multiple valve replacement (fee item 07864 at $2,348.92) is performed and only 1 assist is required in this case, the surgical assistant time is from 0800hrs to1215hrs. Which of the following is the applicable billing?

  (a) For a specially qualified assistant: 1 x fee items 07917 (first assistant for operations over $1033.00) and 1 x fee item 07920 (time, after 4 hours of continuous surgical assistance for one patient, each 15 minute period or fraction thereof). For a non-CVT certified surgical assist: 17 x fee item 00193 (Non-CVT-certified surgical assistance at open-heart surgery, per quarter hour or major portion thereof)
  (b) 1 x fee item 70019 (Certified Surgical Assistant), 8 x fee item 70020 (time after one hour of continuous certified assistance for one patient) and 5 x fee item 00198 (time, after 3 hours of continuous surgical assistance for one patient, each 15 minutes or fraction thereof)
  (c) 1 x fee item 00845 (cardiologist assist for first hour or fraction thereof) and 13 x fee item 00846 (after one hour, for each 15 minutes or fraction thereof)

Question 3

A physician was called to assist at an open reduction of the hip (fee item 55725 at $700.47) and arrived at the hospital at 1600hrs. Which of the following is the applicable billing?

  (a) Fee items 13200 (out of office visit, age 2-49) and 00197 (assistance at surgery over $529.00)
  (b) Fee item 00197 (assistance at surgery over $529.00) only. Visit fees are not payable in addition
  (c) Fee item 00112 (emergency visit) and 00197 (assistance at surgery over $529.00)

Question 4

A mastectomy (1 x fee item V07498 at 100% - $555.74) and an anoplasty (1 x fee item V70665 at 75% - $332.10) are performed. Which of the following is the applicable billing?

  (a) 2 x fee item 00197 (assistance at surgery over $529.00)
  (b) 2 x fee item 00196 (assistance at surgery $317.01 to 529.00 inclusive)
  (c) 1 x fee item 00197 (assistance at surgery over $529.00) for the mastectomy and 1 x fee item 00196 (assistance at surgery $317.01 to 529.00 inclusive) for the anoplasty as the second procedure is in a different body cavity and would require re-draping and a separate incision