CPT modifier
Modifier 82: Assistant surgeon when no qualified resident was available
Modifier 82 is a CPT modifier. In plain terms: A physician assisted at surgery in a teaching hospital because no qualified resident surgeon was available.
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- Modifier
- 82
- Type
- CPT (Level I) modifier, maintained by the AMA
- Plain description
- A physician assisted at surgery in a teaching hospital because no qualified resident surgeon was available.
- How it is used
- Teaching hospital settings.
- Claim form
- CMS-1500 item 24D, up to four modifiers per line. 837P SV101-3 to SV101-6.
The CPT descriptor is AMA copyright and is not shown here. The description above is written by Rivvi. Read the CMS guidance linked above for Medicare's rules.
More than one surgeon
Substitute physicians and teaching settings
- Q5Service furnished under a reciprocal billing arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area
- Q6Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area
- GCThis service has been performed in part by a resident under the direction of a teaching physician
Related modifiers
- 62Two surgeons
- 66Surgical team
- 80Assistant surgeon
- 81Minimum assistant surgeon
- ASPhysician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery
- Q5Service furnished under a reciprocal billing arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area
- Q6Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area
- GCThis service has been performed in part by a resident under the direction of a teaching physician
Related pages
- All CPT and HCPCS modifiersA to Z list
- CMS-1500 claim formModifiers go in item 24D
- Denial code CO-4Modifier missing or does not fit the code
- Denial code CO-182Modifier invalid on the date of service
- Denial code CO-97Included in another service
- Denial code CO-236Procedure or modifier pair not compatible
- HCPCS Level II code lookup
- Denial and remark codes
Questions
What does modifier 82 mean?
Modifier 82 is a CPT modifier. In plain terms: A physician assisted at surgery in a teaching hospital because no qualified resident surgeon was available.
Is modifier 82 a CPT or a HCPCS modifier?
82 is a CPT (Level I) modifier. The AMA maintains CPT modifiers. Two-character codes with a letter, such as GT or XU, are HCPCS Level II modifiers from CMS.
Where does modifier 82 go on a claim?
On the CMS-1500 it goes in item 24D next to the procedure code. Each line holds up to four modifiers. On an 837P it goes in SV101-3 to SV101-6.
When is modifier 82 used?
Teaching hospital settings.
What denial comes back when a modifier is wrong?
A missing or mismatched modifier often comes back as CARC 4. A modifier that was not valid on the date of service comes back as CARC 182. A bundling edit the modifier should have bypassed comes back as CARC 97 or 236.