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Two procedures two doctors mod 52?

  1. #11
    Location
    Johnson City, TN
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    11
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    Medical Coding Books
    Thanks guys, general thought is the 52

    Mike

  2. Default
    I would think this would be considered co-sx in this case you would put a modifier 62. Please reply back if you disagree.

  3. #13
    Location
    Louisville, KY
    Posts
    1,101
    Default
    I'm not sure you may classify another surgeon as "assistant" when he/she is actually performing a unique service (that just happens to be timed in accordance with another procedure) unrelated to the initial service. I would seriously question that.

    After all, I do not believe the requirement for assistant surgeon are met in this scenario. Think of this as you would a Pathology Consult done during a surgery--the Pathologist's services do not require Mod-80, simply because he/she consulted during another physician's operative session. The Pathologist's (and in this case, the Urologist's) services are separate, unique and distinctive from the primary procedure.

    As I stated previously, Mod-54 is not likely to be appropriate, but under the stated circumstances in Appendix A, is possible.

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