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Co-Surgeons Each surgeon should document their distinct operative work in a separate operative report. Claims from both co-surgeons should report the same procedure code with modifier 62 appended. The total allowance for the operative session will be divided equally between the co-surgeons.
Modifier 62 (Co-Surgeon) the same surgical session, the procedures are reimbursable services (if eligible per the Assistant Surgeon Eligible List) when indicated by separate procedure code(s) with modifier 80 or modifier 82 appended, as appropriate.
Current Procedural Terminology (CPT) - modifier 62 describes when two surgeons of same or different specialties work together as primary surgeons performing distinct part(s) of a surgical procedure.
CPT Modifier 82 represents assistant at surgery by another physician when a qualified resident surgeon is not available to assist the primary surgeon.
Co-surgery refers to a single surgical procedure which requires the skill of two surgeons, each in a different specialty, performing parts of the same procedure simultaneously. It is not always co-surgery when two doctors perform surgery on the same patient during the same operative session.

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In Appendix A of the AMA CPT book, modifier 62 states if a co-surgeon acts as an assistant in the performance of additional procedures, other than those reported with modifier 62, during the same surgical session, those services may be reported using separate procedure codes with modifier 80, as appropriate.
Co-Surgeons are defined as two or more surgeons, where the skills of both surgeons are necessary to perform distinct parts of a specific operative procedure. Co-surgery is always performed during the same operative session. An assistant surgeon is defined as a physician who actively assists the operating surgeon.
Use modifier 62. Each surgeon should report the specific procedure(s) by billing the same procedure code(s) with modifier 62.

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