Ob-Gyn Coding Alert

Question: My ob-gyn assisted on a total abdominal hysterectomy bilateral salpingo-oophorectomy (TAH/BSO) for another surgeon. Then, he performed an appendectomy as the primary surgeon on the same with patient (with other surgeon as the assist). How should I bill this so that each surgeon is paid appropriately? New York Subscriber Answer: Assuming you have a medical indication for removing the appendix (other than a ruptured appendix), your ob-gyn bills 44950-52 (Appendectomy; Reduced services) and 58150-80 (Total abdominal hysterectomy [corpus and cervix],with or without removal of tube[s], with or without removal of ovary[s]; Assistant surgeon). You would need modifier 52 because the ob-gyn did not open or close the abdominal procedure. The other doctor will bill 58150, 44950-80.　The other doctor does not report modifier 52 with 49950, because he did open and close. Watch out: You should not report +44955 (Appendectomy; when done for indicated purpose at time of other major [...]