Subject to the terms and conditions of the applicable benefit contract, team surgery is covered under the medical benefits of the Company's products.
This policy is consistent with Current Procedural Terminology (CPT®) and Centers for Medicare & Medicaid Services' (CMS) reporting requirements.
When it is medically necessary for more than two surgeons to carry out a procedure the reported procedure code(s) should be appended with modifier 66 indicating the surgical team approach. If the procedure requires two surgeons refer to the policy regarding Modifier 62: Two Surgeons.
Multiple procedures reported by each team surgeon are subject to multiple surgery reduction guidelines.
Global surgical rules apply to each surgical service reported by each surgeon participating in the team surgery.