tci General Surgery Coding Alert - 2003 Issue 3

Reader Question: Check with Payer Before Applying Modifier -66

Question: Are there any special requirements for appending modifier -66? Maine SubscriberAnswer: Apply modifier -66 (Surgical team) when a team of surgeons (three or more) works together to complete a procedure reported using a single CPT code. The requirements for modifier -66 are similar to those for modifier -62 (Two surgeons). Each physician bills independently, and each provides his or her own operative report and documentation. Team surgeries are uncommon and involve complex procedures such as organ transplants or separation of cojoined twins, for instance. Payers will review modifier -66 claims on a case-by-case basis. Reimbursement among the physicians...

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