PA Assisting on Angiogram / Coiling

Question:

Can we bill for a PA to assist on a cerebral angiogram? What about aneurysm coiling?

Answer:

Well you can try but there are two things to consider:

1. The operative note should have really good documentation showing why a PA was necessary and what exactly the PA did to assist.

2. Medicare does not allow payment for an assistant on the cerebral angiogram or aneurysm coiling codes. So while you might bill for the service, it may not be paid.

*This response is based on the best information available as of 03/10/22.