Effective January 1, 2020, Anthem Blue Cross (Anthem) has updated the Modifier 62: Co‑Surgeons reimbursement policy to expand the current policy’s language, adding that Anthem does not consider surgeons performing different procedures during the same surgical session as co-surgeons, and Modifier 62 is not required.

 

Assistant surgeon and/or multiple procedures rules and fee reductions apply if a co-surgeon acts as an assistant in performing additional procedure(s) during the same surgical session.

 

Please note that assistant surgeon rules do not apply to procedures appropriately billed with Modifier 62.

 

Please visit https://mediproviders.anthem.com/ca to view the Modifier 62: Co-Surgeons reimbursement policy for additional information regarding percentages and reimbursement criteria.

 

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Featured In:
September 2019 Anthem Blue Cross Provider News - California