Results 1 to 9 of 9

-62 or -80 or none

  1. #1
    Default -62 or -80 or none
    Exam Training Packages
    My doctor assisted with a urologosit on TST procedure. The urologist left the OR and my doctor proceeded to perform a vaginal hysterectomy with the midwife assisting him. For the TST procedure do I use a -80 for my doctor's assist? What if the Urologist stayed and assisted him? Does this warrant a -62 modifier and would I append the modifier to each procedure? I need a quick tutorial on the -62 modifier.

    All help is appreciated!

    Joanna

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default 62 modifier
    The 62 modifier is used when TWO surgeons EACH perform a UNIQUE part of a procedure.

    For example, anterior spinal fusion, lumbar - CPT 22558
    Frequently a general surgeon will open, displace the organs to provide an approach - then scrub out.
    The orthopeadic surgeon will then perform the actual arthrodesis
    The general surgeon scrubs back in to replace the organs and close.
    Each surgeon dictates his/her own operative note, listing the OTHER surgeon as co-surgeon.
    And, each surgeon reports 22558 [62]


    This doesn't sound like what you have, but without reading the entire op note(s), it's hard to tell.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Default
    How about a laparoscopy? One performed a LSO and the other did a chole? Would that fit the situation?

  4. #4
    Location
    Greater Orlando
    Posts
    146
    Default
    I'm learning. What is an LSO? Lumbar Sacral Orthosis or Left Salpingo-Oophorectomy?

    Thanks,
    Ron McKenzie, CPC-A
    Greater Orlando FL Chapter

  5. #5
    Default
    Left Salpingo-oopherectomy via laparoscope

  6. #6
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by JLM322 View Post
    How about a laparoscopy? One performed a LSO and the other did a chole? Would that fit the situation?
    No -two separate operations were done, to use a 62 modifier both surgeons have to perform some portion of the exact same procedure, so both are billing the same procedure code.

    With an LSO and Lap Chole there are two different CPT codes for the procedures performed. Each surgeon would dictate an op report for the surgery they did and bill the appropriate code no modifier.

    If they also assisted each other, they could also bill the other CPT with an 80 modifier to indicate they assisted. This may not be allowed by all payers, but it is accepted billing practice.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  7. #7
    Location
    Greater Orlando
    Posts
    146
    Default What about -52 and/or -26s ??
    Arlene,

    Does one procedure need to also be coded with -52 since there was only one set of incisions were made to introduce the laprasocope?

    And, if they are using the hospital's equipment, do we also need -26s on each physician's procuedure, as well?

    Thanks,
    Ron McKenzie, CPC-A
    Greater Orlando FL Chapter

  8. #8
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by RonMcK3 View Post
    Arlene,

    Does one procedure need to also be coded with -52 since there was only one set of incisions were made to introduce the laprasocope?

    And, if they are using the hospital's equipment, do we also need -26s on each physician's procuedure, as well?

    Thanks,
    No you don't need to indicate 52. The scope will need to be reset for the Lap chole and a couple new incisions made. And the professional and technical modifiers are not appropriate for these type of surgical procedures. The equipment costs are recouped by the hospital in their facility billing.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  9. #9
    Location
    Greater Orlando
    Posts
    146
    Default
    Thanks, Arlene
    Ron McKenzie, CPC-A
    Greater Orlando FL Chapter

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.