According to my modifier book Coding with modifiers third edition, page 187;
"If two surgeons (each in a different specialty) are required to perform a specific procedure, each surgeon bills for the procedure with a modifier 62. Co-surgery also refers to surgical procedures involving two surgeons performing the parts of the procedure simultaneously (heart transplant or bilateral knee replacements). Documentation of the medical necessity for two surgeons is required for certain services identified in the MFSDB. (see publication 100-4)
If surgeons of different specialties each perform a different procedure (with specific CPT codes), neither co-surgery nor multiple surgery rules apply, even if the procedures are performed through the same incision."
Hope this helps a little.
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