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(1) If two surgeons (each in a different specialty) are required to perform a specific procedure, each surgeon bills for the procedure with a modifier -62. Co-surgery also refers to surgical procedures involving two surgeons performing the parts of the procedure simultaneously, i.e., heart transplant or bilateral
What is the CPT modifier for a co-surgeon?
Modifier 62 identifies a Co-Surgeon involved in the care of a patient at surgery. Each Co-Surgeon should submit the same Current Procedural Terminology (CPT) code with modifier 62, for the same date of service.
What is the appropriate modifier to use when two surgeons perform?
62 Modifier 62 identifies that two surgeons (each a different specialty) are required to perform a specific procedure, for the same patient, on the same date of service.
Can you bill a co-surgeon and an assistant surgeon on the same claim?
Each surgeon should report the simultaneous bilateral procedures with modifiers 50 and 62. Assistant Surgeon services will not be reimbursed services in addition to the simultaneous bilateral submission as described in the Assistant Surgeon and Co-Surgeon Services section in this policy.
What is the 62 modifier for co surgeons?
Definitions. Current Procedural Terminology (CPT) - modifier 62 describes when two surgeons of the same or different specialties work together as primary surgeons performing distinct part(s) of a surgical procedure.
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Each co-surgeon has an operative note in the medical record. Each operative note lists the other surgeon as a co-surgeon. Each operative note has a clinical indication that describes the medical necessity for two surgeons.
How do you bill for two surgeons?
Modifier 62 Two Surgeons: When 2 surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work
Does Medicare pay for a co-surgeon?
Medicare reimburses for a co-surgeon if the procedure is identified as co-surgeon appropriate and a physician is performing the surgery.
Related links
Clinical Documentation: Assistant Surgery Cases
Sep 19, 2023 The policy addresses the documentation requirements for the primary surgeon and outlines billing and coding rules for the assistant surgeon.
EmblemHealth has based this reimbursement policy on the guidelines established by the Centers of. Medicare and Medicaid Services (CMS) regarding reimbursement
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