CPT Modifier : 62
Description :
Two surgeons: When two surgeons work together as primary surgeons performing distinct
part(s) of a procedure, each surgeon should report his/her distinct operative work by adding
CPT 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 should
report the co-surgery once using the same procedure code. If additional procedure(s) (including
add-on procedure(s) are performed during the same surgical session, separate code(s) may
also be reported with CPT modifier 62 added.
Note: If a co-surgeon acts as an assistant in the performance of additional procedure(s)
during the same surgical session, those services may be reported using separate
procedure code(s) with CPT modifier 80 or modifier 82 added, as appropriate.
CPT Modifier : 66
Description : Surgical Team: Under some circumstances, highly complex procedures (requiring the
concomitant services of several physicians, often of different specialties, plus other highly
skilled, specially trained personnel and various types of complex equipment) are carried out
under the “surgical team” concept. Such circumstances may be identified by each participating
physician with the addition of the CPT modifier 66 to the basic procedure number used for
reporting services.
Documentation establishing that a surgical team was medically necessary is required for
certain services identified by Centers for Medicare & Medicaid Services (CMS). All claims
for team surgeons must contain sufficient information i.e., operative reports, to allow pricing
“by report”.
CPT Modifier : 73
Description : Discontinued Out-patient Hospital/Ambulatory Surgical Center (ASC) Procedure Prior to
the Administration of Anesthesia: Due to extenuating circumstances or those that threaten
the well-being of the patient, the physician may cancel a surgical or diagnostic procedure
subsequent to the patient’s surgical preparation (including sedation when provided, and being
taken to the room where the procedure is to be performed), but prior to the administration
of anesthesia (local, regional block(s) or general). Under these circumstances, the intended
service that is prepared for but cancelled can be reported by its usual procedure number and
the addition of the CPT modifi er 73.
Note: The elective cancellation of a service prior to the administration of anesthesia
and/or surgical preparation of the patient should not be reported. For physician
reporting of a discontinued procedure, see CPT modifi er 53.
CPT Modifier : 74
Description : Discontinued Out-patient Hospital/Ambulatory Surgical Center (ASC) Procedure after
Administration of Anesthesia: Due to extenuating circumstances or those that threaten the
well-being of the patient, the physician may terminate a surgical or diagnostic procedure after
the administration of anesthesia (local, regional block(s) or general) or after the procedure was
started (incision made, intubation started, scope inserted, etc.). Under these circumstances,
the procedure started but terminated can be reported by its usual procedure number and the
addition of the CPT modifi er 74.
Note: The elective cancellation of a service prior to the administration of anesthesia
and/or surgical preparation of the patient should not be reported. For physician
reporting of a discontinued procedure, see CPT modifi er 53.
CPT Modifier : 80
Description : Assistant Surgeon: Surgical assistant services may be identified by adding the CPT modifier
80 to the usual procedure number(s).
This modifi er should be reported to identify surgical assistant services performed in a nonteaching
setting or in a teaching setting when a resident was available but the surgeon opted
not to use the resident. In the latter case, the service is generally not covered by Medicare.
When the surgical services are performed in a non-teaching setting, report “Non-teaching”
in the narrative section of an electronic claim submission.
CPT Modifier : 81
Description : Minimum Assistant Surgeon: Minimum surgical assistant services are identified by adding
CPT modifier 81 to the usual procedure number.
CPT Modifier : 82
Description : Assistant Surgeon (when qualified resident surgeon not available): The unavailability of a
qualified resident surgeon is a prerequisite for use of CPT modifier 82 appended to the usual
procedure code number(s).
This modifier is used in teaching hospitals if there is no approved training program related to
the medical specialty required for the surgical procedure or no qualified resident was available.
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