I am stuck on a claim and I was hoping you could help me. there were 2 co-surgeons (mod 62) on a DIEP reconstruction (19364) but it failed and had to do reconstruction with tissue expander (19357). In my head I’m thinking that the final performed surgery is what I bill 19357-RT.
However the doctors took 6 hours trying to do the DIEP so I was wondering if I can bill for the DIEP with a reduced service modifier? But its not that the service was terminated, its that the DIEP failed. Or should I just bill 19357 with mod 22? But the co surgeon would have to become an assistant surgeon and will be reimbursed less than a co surgeon. Please let me know what you think.
However the doctors took 6 hours trying to do the DIEP so I was wondering if I can bill for the DIEP with a reduced service modifier? But its not that the service was terminated, its that the DIEP failed. Or should I just bill 19357 with mod 22? But the co surgeon would have to become an assistant surgeon and will be reimbursed less than a co surgeon. Please let me know what you think.