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Last Modified: 11/11/2022 Location: FL, PR, USVI Business: Part B

Billing physician assistant services ‘incident to’ a physician FAQ

Q: If a new patient comes into the office and sees our physician assistant (PA), can our PA bill this as "incident to" the physician, who is also in the office seeing patients?
A: No. In order for the service to qualify as "incident to," an initial encounter must have occurred between the physician and the patient, and a course of treatment established by the physician. In this situation, services performed by the PA do not meet the “incident to’” requirement and would not qualify because this is a new patient. The claim would be billed listing the PA as the performing provider.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.