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Printed Date: 9/22/2015
Guidelines and Instructions
Under some circumstances, the individual skills of two or more surgeons are required to perform surgery on the same patient during the same operative session. This may be required because of the complex nature of the procedure(s) and/or the patient’s condition. In these cases, the additional physicians are not acting as assistants-at-surgery.
If two surgeons (each in a different specialty) are required to perform a specific procedure, each surgeon bills for the procedure with a CPT modifier 62 (two surgeons). Co-surgery also refers to surgical procedures involving two surgeons performing the parts of the procedure simultaneously, i.e., heart transplant. Documentation of the medical necessity for two surgeons is required for certain services identified in the Medicare Fee Schedule Data Base (MFSDB).*
Refer to the Medicare Physician Fee Schedule database (MPFSDB) to determine if CPT modifier 62 is applicable to a particular surgical CPT code.
Follow the steps below to identify the Co-Surgical Indicator:
*Note: An operative report must be submitted with CPT modifier 62 for procedures with "Co-Surg" Indicator of 1.
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Last Updated: 07/16/2020