Billing

Modifier 80 / 81 / 82 / AS (Assistant at Surgery)

CPT modifiers indicating assistant surgeon services: 80 (physician assistant), 81 (minimum assistant), 82 (when qualified resident unavailable), and HCPCS AS (PA, NP, CNS).

1 min read · Last reviewed May 23, 2026

At a glance

Category
Billing
Primary sources
2
Workspace handoff
ask d3

Where this comes up

This shows up in revenue-cycle work — claim scrubbing, charge entry, posting, A/R follow-up, and month-end close. Billers and practice managers hit this term when reconciling a payment, working a denial queue, or auditing why a claim aged past 60 days.

Full definition

What it is in practice

CMS recognizes assistant-surgeon modifiers. The PFS assistant-surgeon indicator determines whether assistant payment is allowed for a given CPT.

How it shows up in your practice

Check the PFS indicator before billing an assistant. Document the assistant's role.

Sources

Take it into the workspace

Confirm assistant-surgeon billing in Ask D3

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Authored by D3rx

D3rx is a healthcare-billing and compliance research aid maintained by D3rx Inc. Articles are drafted by an LLM (Anthropic Claude) against primary HHS, OCR, CMS, eCFR, NIST, and state-regulator publications, and reviewed for restraint and source fidelity by the D3rx team.

Reviewer status: a named credentialed reviewer (CHC, CHPC, or healthcare attorney) is being engaged. Until that engagement is finalized, this page does not claim credentialed review.

This glossary entry is a research aid for billing and compliance staff. It does not provide legal, medical, or financial advice and does not replace counsel. References cited link to primary sources at HHS, OCR, CMS, eCFR, NIST, and the relevant payer or industry body.