tci General Surgery Coding Alert - 2021 Issue Q3

You Be the Coder: Distinguish Modifiers 66 and 62

Question: Our general surgeon worked as part of a surgical team for a liver transplant in which he made the initial abdominal midline incision and participated in the left lobe hepatectomy, including maintaining hemostasis and drainage, while a transplant surgeon inserted the cadaver donor liver, connecting it to the hepatic artery, vein, and bile ducts. How should we code our surgeon’s work, and should we use modifier 66? Florida Subscriber Answer: The case appears to be two surgeons rather than a surgical team. Your surgeon participated in the hepatectomy, so you should bill his work as 47125 (Hepatectomy...

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