Billing for a PA in Surgery

I've been having and ongoing issue with our PA, who assists the primary surgeon in all surgeries. I only bill the PA when the procedure is authorized for an Assistant. He wants me to bill for every procedure, of every surgery, since he is listed not he OP note as the Assistant.

I always check what the Assistant Surgery Payment Indicator is. I only bill for him if the indicator is 2.

It looks like I can bill for him if the Indicator is 0, but supporting documentation must be submitted to establish medical necessity. What supporting documentation is required?

I still do not feel I should bill for every procedure he assists on, especially if the Payment Indicator is 1 - can not be paid.

Lastly, is there any backlash for me as a CPC if I start billing all procedures for the Assistant Surgeon, regardless of what the Payment Indicator is?

Thanks so much in advance.

Kelly

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Billing for a PA in Surgery