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Jennifer Posted Thu 19th of October, 2017 08:23:11 AM
If the provider does a submandibular gland excision and another provider does the neck dissection-38724-is that separately billable?
SuperCoder Answered Fri 20th of October, 2017 06:51:06 AM


According to CMS guidelines, the work of surgeon, individually performed on the same patient and same session, both will be reimbursed using different modifier.

In this scenario, 62 modifier will be billed according to the service performed by the surgeon.

When 2 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. If additional procedure(s) (including add-on procedure(s) are performed during the same surgical session, separate code(s) may also be reported with modifier 62 added. 

Additionally, appropriate documentation should be provided of the services performed individually.

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