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tci Part B Insider - 2004 Issue 18

Part B Coding Coach: 3 Steps For Co-Surgery Can Mean The Difference Between 62.5% Payment and Nothing

Successful claims require modifier -62 and physician-to-physician cooperationWhen reporting co-surgeries, you should make sure the procedures qualify for co-surgery by appending the appropriate modifier and by supplying adequate documentation to support all claims. First Step: Check the Physician Fee Schedule Before filing a co-surgery claim, you should check with the Physician Fee Schedule database to be sure the procedure you wish to report qualifies for use with modifier -62 (Two surgeons). If modifier -62 doesn't apply to a particular code, two surgeons cannot claim themselves as co-surgeons for that procedure.Don't waste your effort: "Medicare won't pay for co-surgeries...

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