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Resolved Surgeon fell ill during a procedure

TammyS_47210

TammyS_47210

Member
Good morning all!

I have an unusual scenario.

Doc A was performing a Bronchoscopy and fell ill. Her partner was called in to take over. Doc B documented the procedure, giving details as to what he did and as well as what Doc A did and Doc A signed off on the note. Doc A did not create her own note but did perform the OP discharge. I’m not sure what modifiers if any need to be used.

1. Pooled bronchial wash Doc A
2. LLL BAL Doc A
3. LLL posterior segment endobronchial bx under direct visualization with forceps Doc A
4. LLL protected microbiology brush under fluoroscopic guidance Doc A
5. LLL cytology brushing under fluoroscopic guidance Doc B
6. Additional LLL endobronchial and transbronchial bx with forceps under direct visualization and transbronchial bx sone under fluoroscopic guidance Doc B
7. LLL bronchial wash Doc B
8. EBUS with samples for cell block taken from station 10L left main stem bronchus Doc B

I’ve worked on this for several days and have come up with a couple of options, but I want to see what the veterans’ thoughts are. Thanks for your help! :)
 
I think it is easier than you think. If they are the same group/practice and share the same TIN you will be fine.

Provider Who Performed Most of the Procedure: Best practice is to bill under the provider who performed the "majority" of the procedure, or if it’s unclear, under the one who initiated the procedure. The exact definition of "majority" can vary, but as long as the documentation supports both providers' involvement, you’re likely in compliance.

No modifier is needed.
 
I asked another peer and here is what she said:

They would work it out internally if they are paid by RVU and the payment to the practice needs to be credited to multiple docs. Teams must be multidisciplinary for CMS.

If however there are 2 separate op notes one doing one portion of the CPT code and the other performing the remaining portion of the CPT code as co- surgeons use 62
 
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