Reminder: Supporting documentation required for billing procedure codes reported with modifier 62

“Co-surgery” refers to a single surgical procedure that requires the skill of two surgeons. The two surgeons, who are from the same specialty or different ones, perform parts of the same procedure.

Procedure codes reported with “modifier 62 – co-surgery” must be submitted with the operative report. If no additional documentation is submitted, the service will be rejected, with a message indicating that supporting documentation is required before payment can be considered.

Note: Co-surgeons should coordinate their claim submissions within the same time frame, and both providers should use modifier 62. If the claims aren’t coordinated or modifier 62 isn’t used, the second surgeon’s claim may be rejected.

For additional information about reporting services that always require medical records, refer to the Claims chapter of the online provider manual.