Radiology Coding Alert

Mastering modifier indicators gets you on your way. When you append modifier 62 to a claim, you're indicating that your radiologist will be splitting the fee with another physician. That means you should master how to determine when modifier 62 (Two surgeons) applies to the code you wish to report, says Stephanie Collins, CPC, healthcare consultant with Gates, Moore & Company in Atlanta. For Medicare patients, the solution is as simple as checking the fee schedule. See '2,' Green Light Modifier 62 To confirm that the procedure you wish to report qualifies for modifier 62, turn to the Medicare physician fee schedule (MPFS) database. To be eligible for payment, make sure that the physicians are from different specialties and your procedure codes have a Medicare co-surgery indicator of either "1" or "2." If not, your physicians cannot code and bill as co-surgeons for that procedure. 1: If you find a [...]