Medicare Compliance & Reimbursement

4 tips break down what documentation both physicians should have. When two physicians perform services on the same patient during the same surgical session, you have to be extra vigilant about whether to apply modifier 62 and what documentation your physician provides, or you could face a denial that's complicated to appeal. Don't miss: Tackle these two scenarios -- one where the physicians assist each other and one where the physicians perform distinct parts of the procedure -- and discover when you should apply modifier 62. Scenario 1: Both MDs Perform Same Procedure Suppose a urologist and an ob-gyn perform a bladder suspension and a hysterectomy at the same surgical session. Solution: Both physicians should report 58267 (Vaginal hysterectomy, for uterus 250 grams or less...) or 58293 (Vaginal hysterectomy, for uterus greater than 250 grams...). You should report this claim as two surgeons (modifier 62). In other words, "each surgeon is going [...]