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CMS Guidelines vs AMA CPT Definition of Co-Surgery (Two Surgeons) Modifier 62

No documentation is required to be submitted to establish medical necessity, of certain procedures, if the two different specialty requirements are met. Co-surgeons could be paid, for certain procedures, by submitting the required supportive documentation (two operative reports), to establish the medical necessity of two surgeons for the procedure.

Two surgeons share the work of a single CPT code, typically due to their unique training and skills; neither performs the entire procedure.

                   
CPT DefinitionCMS Guidelines
When two surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should bill his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons.  Each surgeon is responsible for dictating a distinct operative report and for performing pre and post-operative care.  They both bill the same procedure code with modifier 62.If two surgeons (each in a different specialty) are required to perform a specific procedure, each surgeon bills for the procedure with a modifier 62 (two surgeons).  Co-Surgery also refers to surgical procedures involving two surgeons performing the parts of the procedure simultaneously.  Each surgeon is responsible for dictating a distinct operative report.