tci General Surgery Coding Alert - 2011 Issue 11

Co-Surgery: 'Unlisted Laparoscopy' Allow Co-Surgeons, Thanks to Fee Schedule Change

Don't forget the modifier for distinct services.You'll no longer have to forfeit pay when your surgeon performs a distinct part of certain laparoscopic procedures with another surgeon, thanks to several recent Medicare Physician fee schedule changes. CMS recently offered the good news for several co-surgery codes in Transmittal 2276, with an Oct. 3, 2011 implementation date.Look for Potential Co-Surgery Payment for These CodesCMS will change the co-surgery indicator for spleen surgery code 38129 (Unlisted laparoscopy procedure, spleen) from "0" (Co-surgeons not permitted) to "1" (Co-surgeons could be paid, supporting documentation required to establish medical necessity of two...

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