Policy Application
All claims submitted for this policy will be processed according to the policy effective date and associated revision effective dates in effect on the date of service.
Policy
Co-Surgeon is defined as two or more surgeons, working together simultaneously as primary surgeons, to perform distinct parts of an operative procedure during the same operative session. When Co-Surgery is performed, each surgeon should report the same procedure code with the modifier 62 appended. Any associated add-on codes that were performed during the same surgical session may also be reported with the modifier 62.
Surgical Team is defined as two or more surgeons with different skills, and generally of different specialties, working together to carry out various procedures of a complicated case. When a surgical team is used for surgery, each surgeon should report the same procedure code with the modifier 66 appended. Any associated add-on codes that were performed during the same surgical session may also be reported with the modifier 66.
Reimbursement Percentage
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62
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62.5% of the fee schedule
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66
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62.5% of the fee schedule
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