Aetna Updates for Assistant Surgeons Payments


Effective September 1, 2017, Aetna is changing the pay to assistant surgeons for multiple surgical procedures for Coventry commercial and participating Medicare claims. This aligns with Aetna’s current policy.

When modifiers 81 and AS are eligible for payment, we’ll calculate payment for assistant surgeon services as follows:

  1. 12 percent for the first procedure with the highest relative value units (RVU).
  2. 6 percent for the second procedure with the second highest RVU
  3. 3 percent for each subsequent procedure

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