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PAP510

CPT Modifier 62


Provider Administrative Policy

Section
Physician
Policy Date
December 2006
Status/Date
Revised/March 2009
Provider Type(s)
Ambulatory Surgery Centers   Hospitals   Physician   Podiatrists  

Disclaimer

Our provider administrative policies contain information regarding claims submission, reimbursement, and other information in order to achieve an efficient relationship with our providers. These policies are not an authorization or explanation of benefits. Blue Cross of Idaho retains the right to add to, delete from and otherwise modify this policy in accordance with our provider contracts.

Policy

CPT Modifier 62

CPT Modifier 62 is used with a surgical procedure to indicate co-surgeons performed the surgery. Blue Cross of Idaho will reimburse each surgeon 60 percent of the maximum procedural allowance or the fee billed, whichever is less.  Each co-surgeon must submit his/her own billing with the individual NPI number.


Policy History

Date Action Reason
March 2009 Revised Added biling submission language
November 2008 Revised Title change/language clarification
May 2008 Revised Title change

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