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C Delivery Cosurgeons

  1. #1
    Default C Delivery Cosurgeons
    Exam Training Packages
    If co surgeons perform C delivery and one surgeon is responsible for antepartum and postpartum as well, how they bill for their services.

    59510-62 surgeon who does delivery, antepartum, & postpartum

    59514-62 surgeon who does delivery only

    ....but it looks like mod 62 is not allowed with 59510

    Responses eagerly awaited!

    Thanks!

  2. #2
    Location
    Greeley, Colorado
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    How can they be co-surgeons? I think you have a surgeon and an assistant.
    59510
    59514-80
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Default C Delivery Co-surgeons
    I am not sure if that is absolutely not possible - what if the delivery is extremely complicated and/or involves delivery of more than one fetus....?

  4. Default
    I would have to agree with Lisa, in the 6 years I have coded OB/GYN, I have never coded a co-surgeon for c-section delivery. It would have to be very obvious in the operative note and both surgeons would have to agree and code the same.

  5. #5
    Location
    Greeley, Colorado
    Posts
    2,045
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    Take a look at the definition of modifier -62. Both surgeons have to work together as primary surgeons performing distinct parts of a procedure. I have never seen a c/s coded as a co-surgery. Only primary and assistant. If the c/s is substantially more difficult and supported by documentation, the primary surgeon could us modifier -22; even in a multiple birth situation.
    Lisa Bledsoe, CPC, CPMA

  6. #6
    Default Thanks!
    Thanks for sharing your experiences - I was looking at it more on a coding perspective, ignoring the clinical aspect.

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