AAPC - Back to school
Results 1 to 5 of 5

Thread: Modifier -62 Question

  1. #1
    Join Date
    Apr 2007
    Omaha, Nebraska

    Default Modifier -62 Question

    AAPC: Back to School
    Hi Everyone! I'm getting ready to sit for the CPC Exam on Saturday 11/15/08 (first time); purchased a practice test and did pretty well the first time through. Ones I missed I figured out what I did wrong. There is one that I have a question about however ... question says "The ENT surgeon performs an anterior skull base LeFort I osteotomy approach for the intradural removal of a meningioma by a neurosurgeon. What should the ENT surgeon bill?"

    Choices are:

    a) 61580-62
    b) 61586-62
    c) 61586
    d) 61584

    I answered 61586-62 (because of two surgeons) ... but, the correct answer is 61586. My questions is WHY? Am I reading too much into the question and assuming the ENT opened and the neurosurgeon did his bit at the same time?

    Thanks for any help you can provide.

  2. #2

    Default Modifier -62 Question

    For codes dealing with surgery to the base of the skull - when one surgeon performs the apporach procedure and the other performs the definitive procedure - each surgeon would report only the code for the specific procedures performed. The ENT performs the approach and should code 61586 without the modifier 62
    Good luck on your exam

  3. #3
    Join Date
    Apr 2007
    Omaha, Nebraska


    Thanks! I guess I thought -62 would be appropriate because it states "two surgeons". When I trained claims auditors at BCBS, we used -62 to indicate that two surgeons of different specialties were involved in the same surgical suite. Modifier -62 really was for CO-surgeons ... meaning that they were of different specialties BUT one needed the other to do their job ... isn't that the case here? Didn't the neurosurgeon NEED the ENT to create the opening? Hmmm ... still wondering.

  4. #4


    I haven't taken the CPC yet, but I'm looking at the phrase "What should the ENT surgeon bill?"

    I may be very wrong, but most tests I have taken involve dissecting the question.

  5. #5
    Join Date
    Apr 2007
    Milwaukee WI

    Default I answered on the other thread

    CK ...
    your question was also posted on another thread, and I answered you there.

    F Tessa Bartels, CPC, CPC-E/M

Similar Threads

  1. 51 Modifier Question
    By yolwil in forum Anesthesia
    Replies: 6
    Last Post: 05-27-2015, 12:08 PM
  2. modifier 51 question - I work in dermatology
    By mjl903 in forum Modifiers
    Replies: 4
    Last Post: 12-19-2012, 10:01 AM
  3. Modifier 78 Question - A patient is in the hospital
    By MichelleAKing in forum Modifiers
    Replies: 0
    Last Post: 10-14-2010, 04:13 PM
  4. Modifier 26 Question
    By mmelcam in forum General Surgery
    Replies: 3
    Last Post: 05-19-2010, 04:37 PM
  5. Modifier 52 question
    By Yarbs in forum Modifiers
    Replies: 2
    Last Post: 10-30-2008, 05:52 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.