Make Co-Surgery Denials a Thing of the Past
Published on Sat May 09, 2009
4 tips break down what documentation both physicians should have. When a urologist and ob-gyn perform services on the same patient during the same surgical session, you have to be extra vigilant about whether to apply modifier 62 and what documentation your physician provides, or you could face a denial that's complicated to appeal. Don't miss: Tackle these two scenarios -- one where the physicians assist each other and one where the physicians perform distinct parts of the procedure -- and discover when you should apply modifier 62. Scenario 1: Both MDs Perform Same Procedure Suppose a urologist and an ob-gyn perform a bladder suspension and a hysterectomy at the same surgical session. Solution: Both physicians should report 58267 (Vaginal hysterectomy, for uterus 250 grams or less; with colpo-urethrocystopexy [Marshal-Marchetti-Krantz type, Pereyra type] with or without endoscopic control) or 58293 (Vaginal hysterectomy, for uterus greater than 250 grams; with colpo-urethrocystopexy [Marshall-Marchetti-Krantz type, [...]
