tci Part B Insider - 2011 Issue 7

Know When Modifier 62 Applies to Your Claims

Make sure documentation shows each physician's role in the surgery.Not every CPT code is eligible for reimbursement with a co-surgeon. Determine when you can use modifier 62 (Two surgeons) by looking to column AB in the Excel version of the 2011 Fee Schedule database, available for download at www.cms.gov/PhysicianFeeSched.Remember: For modifier 62 claims, most payers pay an additional fee (generally 125 percent of the "usual" fee for the procedure, split evenly between the two surgeons). Avoid reimbursement problems by checking these claims carefully.Crack The Column AB Code: A "2" in column AB next to...

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