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Two different procedures by two different surgeons under same anesthesia?

Teresa Posted Tue 07th of October, 2014 10:45:26 AM

First procedure was that of removal of a cecal tumor by a different surgery and then we came in while the abdomen was still open and performed a cystoscopy, bilateral retrograde pyleography, placement of double-J stent. Which modifier if any would we use? and will reimbursement be reduced because of it.
are these codes correct?
52351
52331-51
74420-26

SuperCoder Answered Tue 07th of October, 2014 16:19:42 PM

Thank you for your question.

"Different procedures require no modifier-
If surgeons of different specialties are each performing a different procedure (with different CPT codes), neither co-surgery nor multiple surgeon rules apply (even if the procedures are performed through the same incision). If one
of the surgeons performs multiple procedures, the multiple procedure rules apply to that surgeon’s services. "

http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1322.pdf

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