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Correct Use of CPT Modifier 82 Physician: Assist-at-surgery allowed with appended modifiers 80, 81 or 82 Allowed = 16% of surgery fee schedule allowable Modifier 82 needs a statement that no qualified resident surgeon was available Indicates exceptional medical circumstances exist Primary surgeon must have a policy of never involving residents in preoperative, operative or postoperative care of his/her patients Non Physician Practitioner (NPP) or mid-level practitioner (PA, NP, CNS): Append AS modifier only Allowed equals 85% of surgical assist or 16% allowable Incorrect Use of CPT Modifier 82 Inappropriate to bill physician assistant surgical services with AS modifier Inappropriate to append modifier 58 (staging) with any assistant surgery CPT Modifier 90- Reference (Outside) Laboratory (Referred tests) Is used in medical coding to indicate that a laboratory procedure was performed by a party other than the treating or reporting physician