If they are of the same specialty, they are considered one doctor for payment purposes.
If they are of different specialties, there shouldn't be a multiple surgery reduction. HOWEVER, some payers do not recognize this and will apply the reduction.
The purpose of the reduction is to account for the fact that a surgeon will not perform separate pre- and post-operative care for the additional procedures performed. However, if both surgeons will be independently providing pre- and post-op care (for the respective procedures performed), then you should appeal with full documentation (not just op note but clinic/office visits as well).
Hope that helps.
F Tessa Bartels, CPC, CEMC
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join