The primary surgeon's report should list the secondary surgeon as the assistant. If the second surgeon is doing for example, the approach to the procedure usually our dr's list him as the assist and then say in the OR that Dr. "Smith" performed the approach and will dictate his portion of the procedure under separate report. Then, the second surgeon dictates his portion of the procedure. If the second surgeon is simply acting as an assist for the whole procedure the insurance company usually requires their name to be listed as the assistant and then they primary surgeon dictates something at the end of the OR like "Dr. Smith was present for the entire procedure and helped with suction, irrigation and instrumentation."
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