Priyanka Posted Thu 04th of January, 2018 07:31:10 AM
how would I code if a vascular surgeon does the vascular repair and the general surgeon is asked to evaluate the intestinal integrity and to close the abdomen. both the doctors are under the same group, so what is the modifier used.
SuperCoder Answered Fri 05th of January, 2018 00:41:38 AM
Greetings from SuperCoder!
Append modifier 62 to each physician’s procedure when the physicians perform distinct, separate portions of the same procedure. Modifier 62 tells you that each physician completed a single procedure within the overall surgery. Both physicians should dictate their own op notes to describe their roles in that single procedure.
Check your Medicare Physician Fee Schedule to confirm that the procedure you wish to report qualifies for modifier 62.
Medicare reimburses each provider a percentage of the Medicare global surgery fee schedule amount for the procedure. The coverage dictates a pricing of 125 percent of the allowable, which is a 50-50 split between both surgeons (i.e. 62.5 percent for each surgeon).
Please feel free to write if you have any question.