tci General Surgery Coding Alert - 2008 Issue 8

You Be the Coder: Can 2 Docs Report 43246?

Question: In our-practice, two surgeons work together to place a percutaneous gastrostomy tube. One surgeon places the G-tube, while the other surgeon checks for placement laparoscopically. We tried billing 43246 with modifier 62 for both surgeons, as well as 43246 for one surgeon and 43246-82 for the second surgeon. Although Medicare has been paying for the primary surgeon, it always denies payment for the second surgeon. Which code can the second surgeon use to bill for his portion of the procedure? Virginia Subscriber Answer: According to the latest Medicare Physician Fee Schedule Relative Value File, CMS assigns a "0"...

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