Results 1 to 3 of 3

Schwannoma - 2 surgeons how to bill for each surgeon

  1. #1
    Williamsport, PA
    Default Schwannoma - 2 surgeons how to bill for each surgeon
    Medical Coding Books
    Hello. Our ENT doctor and one of our general surgeons performed a surgery together.

    A brief summary of the procedure is: (ENT doctor) Working through a smal horizontal upper neck incision the vascular control was obtained easily. The tumor was exposed.

    The tumor was then removed by the general surgeon.

    (ENT doctor) The wound was closed in a standard fashion with estimated blood loss was 50 cc.

    I want to code this for both doctors using the same code with a modifier 62. The ENT doctor is telling me there should be a code for the approach to the tumor separate from the general surgeon's code.

    Any thoughts are greatly appreciated. If there is a code out there for just the approach, please let me know. Thanks!

  2. #2
    Milwaukee WI
    Default Modifier 62
    Without seeing both operative notes it's hard to give you an accurate response.

    However, it appears to me that this would be a co-surgery, using the same code(s) for both surgeons with a -62 modifier on each. You MUST coordinate this with the general surgeon because both have to use the same CPT codes and modifiers!

    A similar situation is anterior spinal fusion, where a general surgeon opens the approach, and closes, while the orthopaedic or neuro-surgeon performs the arthrodesis.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Williamsport, PA
    Yes this does help. Thank you.

Similar Threads

  1. Surgeon wants to bill all codes regardless of CCI
    By deeplocica in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 11-04-2014, 10:21 AM
  2. how to bill co-surgeon if M62 not allowed
    By rkindlund in forum General Surgery
    Replies: 2
    Last Post: 04-19-2014, 09:21 AM
  3. Replies: 2
    Last Post: 02-25-2013, 05:37 AM
  4. Bill two surgeons
    By Sbisc723 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-21-2010, 12:55 PM
  5. Can a PA bill as an assistant surgeon??
    By jek521 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 01-16-2008, 05:44 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.