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C3 corpectomy with anterior fusion..approach

  1. #1
    Location
    Greater Pittsburgh
    Posts
    390
    Default C3 corpectomy with anterior fusion..approach
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    My ortho spine surgeon does many cases with a neurosurgeon and I always bill as co surgeons-62 modifier.....I now have a case that an Ear, Nose, Throat surgeon was involved for the anterior approach...would it be correct to use the -66 modifer, surgical team?

    Thank you in advance.
    Last edited by jdemar; 05-04-2009 at 11:14 AM.
    jdemar, CPC, CMA

  2. #2
    Location
    North Carolina
    Posts
    3,126
    Default
    I haven't had a scenario where we used modifier 66 with an ENT. If the ENT and neurosurgeon are working together to provide a single, identifiable procedure I would use modifier 62. Our local ENT physician often performs the surgical exposure for the primary procedure.

  3. #3
    Location
    Milwaukee WI
    Posts
    4,466
    Default 2 surgeons or 3?
    Were there two surgeon (ENT & Ortho) or were there three (ENT, Ortho & Neuro)?

    F Tessa Bartels, CPC, CEMC

  4. #4
    Location
    Greater Pittsburgh
    Posts
    390
    Default 3 surgeons
    Sorry for the mix up: 1 ortho; 1 neuro; 1 ENT(ENT was for the approach)
    jdemar, CPC, CMA

  5. #5
    Location
    North Carolina
    Posts
    3,126
    Default
    Ahh...if your procedure meets the definition of modifier 66...then this could apply.

  6. #6
    Location
    Greater Pittsburgh
    Posts
    390
    Smile 66 modifier
    Thanks to all, -66 it is!
    jdemar, CPC, CMA

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