Sherry Posted Tue 30th of January, 2018 05:58:13 AM
Can Anoscopy be billed with modifier 62? Patient had a Sigmoid resection done by another physician, and our physician went in and performed an Anoscopy; is modifier 62 the correct modifier?
SuperCoder Answered Wed 31st of January, 2018 06:47:54 AM
Modifier 62 for performing Anoscopy would not be considered a paid service.
Modifier 62 is used when two surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons. Each surgeon should report the co-surgery once using the same procedure code.
Here anoscopy is not part of the procedure. It is a separate procedure.
Also, anoscopy when performed by the surgeon post sigmoid resection would not be considered a payable service. Anoscopy is always performed after sigmoid surgeries to confirm the patency of the lumen. It would be considered part of the procedure.
Performing Anoscopy by other surgeon would be considered as a fraud billing by the payer until there is sufficient documentation to support the need for the procedure as well as for the other surgeon to perform the procedure.
Sherry Posted Fri 02nd of February, 2018 09:30:41 AM
Thank you so much!
SuperCoder Answered Mon 05th of February, 2018 01:31:21 AM