Assistant Surgeon Invoices

Assistant Surgeon Invoices

The Invoices screen for Surgeons has an Assist check box which should be ticked for Assistant claims.  Uncheck the Assist box for other claims, such as consultations and non-surgical procedures, or if you are the primary surgeon.

NOTE: You don't need to enter the Assist Item (eg 51300, 51303, 51306, 51309). Cutting Edge determines this for you as you enter the surgeon's items in the Items section.
  • Select the Surgeon and Hospital from the drop down lists. If you've entered different provider numbers for each hospital, the correct one will be shown as you change the hospital.
  • Enter the surgeon's items in any order. Cutting Edge will sort them for you, apply the appropriate Multiple Operation Rule (e.g. for MBS 100% of the item with the largest fee, 50% of the second item, 25% of subsequent items), calculate the fee based on the rules for the selected fund and show the Assist Item in the Fee Calculation box.
  • NOTE 1: Where the total MBS fee for the surgeon's items is below the threshold specified in the MBS (with Multiple Operation Rule applied), then the Assist item is 51300 and the Assist Fee is a fixed fee, displayed against the first item. Because the second item does not take the total over the threshold, and therefore does not affect the Assistant Fee, it displays a $0 value.  
  • You will also see the text update in the Service Text box. This is how we communicate the operation details to Medicare and Funds on Assistant claims.

The software can only send one item (the Assist Item) with a date, a fee and the Service Text. None of the text in Descriptions on each surgical item gets sent. Due to limitations at the Medicare hub, Service text is limited to 50 characters (100 for DVA). This becomes challenging when there are more than 6 surgical items on one invoice. 

Edit the Service Text with caution! If surgical details are missing the claim will be rejected or underpaid. Cutting Edge will warn you if the Service Text is too long to transmit.

    • Related Articles

    • Adding Surgeons or Referring Doctors

      To add a new referrer or surgeon, go to the Databases/Referrers or Databases/Surgeons screen and click New on the top right.   The following information is required: Code – three letters or numbers (or a combination), created by you Family Name, ...
    • Multiple operation rules

      For surgeons and assistant surgeons, where there are several billable surgical items on an invoice the appropriate Multiple Operation Rule will apply. CESoft will apply the appropriate rule when you select a fund. In most cases this is the MBS rule ...
    • Editing Provider Details

      On the Settings/General screen you can enter details for the header and footer of printed invoices. Tick the check boxes alongside the address entries to add them to the Address Box.   There are spaces for two email addresses that we can use to ...
    • Moving from Access Anaesthetics to Cutting Edge

      When you are ready to make the transition from AA to CE, contact our support staff at Our staff will assist you to migrate your settings (provider numbers, hospitals, referrers, templates etc) and give you training in the new ...
    • Adding your Bank Details

      If you want to print Banking Reports, you can optionally save your practice banking details so they are printed on the header of banking slips. Go to the Settings/Bank Details screen to do so. If you prefer not to enter these details you can still ...