Wiki Two orthopedic surgeons on the same case

[dgerry]

I have two orthopedic surgeons who want to each bill for their part of a two code procedure and then bill as the assistant surgeon on the other procedure. I told them that we would append the 51 modifier to the second procedure and one of the physicians is claiming that other practices are getting paid 100% for each procedure since there are 2 different providers billing each. I've never seen this before and since they are from the same practice billing under the same TIN in the same specialty during the same operative session I need some advice. Any help would be greatly appreciated!

 

[GaPeach77]

Two ortho surgeons performing different parts of a procedure can bill using the modifier 62 as long as the documentation is clear on who did what.


For assistant surgeon the modifier would be 80 or 82.
CPT Coding Book