• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Bilateral knee surgery/different surgeons

K

kparkhurst

Networker
Local Chapter Officer
Messages
69
Location
Lancaster, NY
I have two surgeons performing the same procedure on different knees during the same operative session - should both procedures be billed as co-surgeons or each bill separately? Has anyone ever encountered this before???:confused:
 
kparkhurst said:
I have two surgeons performing the same procedure on different knees during the same operative session - should both procedures be billed as co-surgeons or each bill separately? Has anyone ever encountered this before???:confused:
Click to expand...

No I haven't but sounds interesting. Did they help each other? If so I'd add 62 mod. If not and 1 doc did Right and 1 doc did Left then I would have them bill each procedure individually. Are they same practice?
 
This is rare, but each physician gets to bill for their own procedure. You didn't state whether the surgeons are in the same practice. Be sure to put the laterality modifier on each procedure so insurance knows you aren't double billing. I would suggest sending both op reports with the claims as the payor will apply the multiple procedure reduction to one of them and that would not be appropriate.

This is not a co-surgeon scenario as they are in different body areas, not the same incision.
 
You must log in or register to reply here.
Top