Reporting Cosurgeries (July 1996)

July 1996 page 7 Coding Tip Reporting Cosurgeries We receive many questions concerning how to report surgeries performed by more than one physician. To help you understand the proper coding we present the following information. The General Question I am a general surgeon who sometimes performs surgeries with other surgeons (cosurgeries), such as orthopedic or neurosurgeons. I open the surgical site, the other surgeon does the definitive portion of the procedure, and then I close. What CPT codes should I report for my services? I have heard from some sources that I should bill for a thoracotomy and wound...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a common cosurgery reporting scenario and discusses how clinicians and billing staff should think about submitting claims when two physicians share a surgical case. It is aimed at coders, surgeons, and practice staff who need to understand the general CPT reporting approach for co-performed procedures and the related documentation and communication considerations.

Why This Topic Matters

Cosurgery claims can be reported incorrectly if the roles of the participating physicians are not coordinated. Understanding the article helps practices align coding and claim submission for multi-physician surgical cases.

Article Sections

  1. Coding Tip

    Introduces the topic of cosurgery reporting and frames the common billing question addressed by the article.

  2. The General Question

    Presents the scenario of two physicians sharing a procedure and the uncertainty about how each physician should report the service.

  3. Here's How to Code

    Summarizes the article’s general CPT reporting guidance for shared surgical services and the associated modifier use.

  4. Illustration

    Describes an example operative scenario involving multiple surgical components performed by different physicians.

  5. Coding the Illustration

    Shows the example reporting format for the physicians involved in the illustration.

What You Will Learn

  • The general topic of cosurgery reporting
  • How the article frames shared surgical roles between physicians
  • The types of CPT reporting guidance discussed for co-performed procedures
  • How an example operative scenario is presented in the article
  • Why coordination between surgeons’ offices matters for claim submission

Who Should Read This

  • Medical coders
  • Surgeons
  • Billing staff
  • Practice administrators

Codes Discussed

Modifiers Discussed


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