You only use the -62 when each surgeon is doing part of a single procedure - for instance, if they were doing different parts of the 19303. If they're each doing a different procedure, for which there is no "combo" code - and there's none that encompasses both a mastectomy & the reconstruction - then they each bill their own code w/o the modifier. If the plastic surgeon assisted the general surgeon on the mastectomy, he/she can also bill the mastectomy code with the -80, in addition to the reconstruction code. They don't use the -62 when they do different procedures during the same operative session, only when they jointly perform the SAME procedure(s).
I hope this isn't clear as mud -
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