tci General Surgery Coding Alert - 2013 Issue 3

Reader Question: Take Heed of 3-Surgeon Case

Question: We had three surgeons working together to perform a delayed left breast reconstruction. The procedure involved deep inferior epigastric perforator free flap (DIEP flap) with microvascular anastomosis. All surgeons are of the same specialty, working together to complete the procedure during the same operative session. All of them are doing their own operative reports, listing one of the surgeons as staff and the other two as co-surgeons. What is the correct CPT® code, and would it be appropriate to bill out a single code for all three surgeons using modifier 66? Kentucky Subscriber Answer: The correct code for...

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