We had the same thing happen recently. Very complicated case that went on for hours involving Ortho, Neuro, and TWO general surgeons - one to open, and one to close.
What we wound up doing was coding Gen Surg A (who opened) with a -66 (team surgery) AND -52 modifier; ditto for Gen Surg B (who closed 13 hours later).
We haven't gotten this back from insurance yet, but are sure we'll be asked for notes and we will explain the extraordinary circumstances.
At the very least, since both general surgeons are in the same practice, you could code under just one name with the -62 modifier (and you would normally do), and then handle the "split" of fee on the back end.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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