Modifier 66 (surgical team) is reported when a procedure requires the skills of more than two surgeons of different specialties who work together to carry out various portions of a complicated surgical procedure. This complicated procedure may require specially trained personnel and specialized equipment, and typically consists of surgeons from different specialties. Each surgeon performing a unique function and utilizing special skills integral to the total procedure can be considered a member of the surgical team.
For each procedure performed by the surgical team, each surgeon should report the procedure code(s) appended with modifier 66. Documentation (medical report, operative report, etc) should be submitted by each surgeon in addition to the Team Surgical Report Form.
As used in this policy, surgical team and team surgery are used interchangeably.