Table of Contents

Basics of 62 Modifier

When two surgeons work together as primary surgeons performing distinct part(s) of a single reportable procedure, each surgeon should report his/her distinct operative work by submitting CPT modifier 62. Each surgeon should report the co-surgery once using the same procedure code.

Do not submit this modifier for assistant at surgery services like HCPCS modifier AS and CPT modifiers 80, 81 and 82.
This modifier may only be submitted with surgical codes.
Documentation must be submitted upon request, or you may submit documentation with your initial claim, including paper and electronic claims.

Co-surgery indicator for 62 modifier

Find the co-surgery indicator for all surgical procedures:
- Access the CMS Physician Fee Schedule Look-up Tool
  - Select the year, then “Payment Policy Indicators,” a single code or multiple codes (or a range), and “All Carriers/MACs”.
  - Enter your code(s) and modifier selection, then click submit
  - The “CO SURG” column shows the co-surgery indicator

Co-surgery Indicator	Meaning
0	Co-surgeons not permitted for this procedure
1	Co-surgeons could be paid; supporting documentation required to establish medical necessity
2	Co-surgeons permitted; no additional documentation required with the initial claim to establish medical necessity
9	Concept does not apply

Example for 62 modifier eligibility

Just visit the below links of CMS Physician Fee Schedule look up tool

http://www.cms.gov/apps/physician-fee-schedule/search/search-criteria.aspx

Now enter the CPT code eg. 43246 in the HCPCS code box and keep other information same as shown below. Click the Search Fees box to get results.

Now below are the search results. Since their are many columns in the results you have to slide the results to come to the Co-surgeon column as shown below. As shown in the highlighted section, 62 modifier has 2 Co-surgery indicator. This indicator shows the “Co-surgeons permitted; no additional documentation required with the initial claim to establish medical necessity”.

This is how you can find co-surgery indicator for all surgical procedures. You can also find the reimbursement rate, cost, price of a particular CPT code with or without 62 modifier for different MAC region/locality in this place.