Results 1 to 3 of 3

Two general surgeons performing spinal access

  1. #1
    Default Two general surgeons performing spinal access
    Medical Coding Books
    Good morning!

    My docs were involved in a cosurgery for spinal access so that the orthopedic could perform ALIF. My one surgeon did the opening, however, my other surgeon came in to do the closure. He dictated a separate report concerning this. Is this billable???? The two docs are of the same group and normally, one of my docs would do the opening and closure of the spinal access.

    I am thinking it is not, but would appreciate other opinions.

    Thanks in advance for your help!

    Peggy

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default We had the same thing happen
    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

  3. #3
    Default
    Thanks Tessa for responding.

    I did end up billing for the one surgeon with a 62 modifier and will be giving credit for the other surgeon who closed, just like you mentioned.

    Peggy

Similar Threads

  1. Hospitalists performing pre- and post op care for surgeons
    By acw in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 05-21-2014, 09:41 AM
  2. Re: General Surgeons/Lysis of Adhesions
    By medicalsec in forum General Surgery
    Replies: 4
    Last Post: 07-12-2010, 12:15 AM
  3. General Surgeons Helping in Spinal Surgery
    By Amie Anderson in forum General Surgery
    Replies: 3
    Last Post: 08-19-2009, 04:42 PM
  4. Replies: 1
    Last Post: 05-02-2009, 07:36 AM
  5. Replies: 3
    Last Post: 01-21-2009, 11:12 AM

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?

Login

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.