Wiki 49204 denial for co-surgeons

[liloe517]

My vascular surgeon did a 49204 with an outside general surgeon and our code is being denied as multiple surgeons not allowed, even though the AAPC coder indicates that modifier 62 is allowed with this code. Has anyone else had this problem with this code? The patient is on Medicaid, would that make a difference?

 

[CodingKing]

medicaid could have a separate policy or need medical necessity review may be needed.