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When more than one procedure (excluding E&M codes) is performed on the same day during the same encounter by the same physician, modifier -51 should be appended to the subsequent procedures on the ...
For example, 80 is the CPT code modifier that explains a surgical assistant and/or physician assistant offered services, and payment is usually far less than the full amount.
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So the spine surgeon would report CPT 22558-62, 22845 and 22851. Meanwhile, the vascular surgeon performs the approach and then assists on the remainder of the case. So the vascular surgeon reports ...
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