tci General Surgery Coding Alert - 2005 Issue 1

Reader Questions: Reporting Endograft With Cosurgeons? Do This

Question: How should I code an abdominal aortic aneurysm (AAA) repair with more than one physician? Should I bill the appropriate code and append modifier -62?Illinois Subscriber Answer: You can report many AAA services with modifier -62 (Two surgeons) if two physicians act as cosurgeons during the procedure.  Section 15044 of the Medicare Carriers Manual specifies that each cosurgeon must serve as the primary surgeon during some part of the operation and that each must perform a distinct portion of a single reportable procedure. Although the surgeons operate on the same patient during the same operative session...

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