Wiki Co-Surgeon vs Assistant Surgeon

chammons

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How would you bill for the add on codes for the assistant surgeon if the primary procedure was done with the co-surgeon?
For example, I am billing 22558, 22585, 22845 and 22853. 22558 and 22585 were both done with a co-surgeon, however 22853 and 22845 were done with the assistant surgeon but I cannot bill only those codes since they are add-on codes.
 
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