Modifier 66 - Part 4
from Modifier Mondays: a KZA Podcast Hosted by KZA KAST
We wrap up our Modifier 66 series with a closer look at the payer and compliance considerations surrounding team surgery, with content prepared by KZA Coding Expert Deb Grider. Learn why these relatively uncommon claims may receive additional scrutiny, how Medicare evaluates team surgery using the Physician Fee Schedule, and why payer-specific policies should always be reviewed before submitting a claim. We also share a practical approach to internally auditing Modifier 66 claims to ensure the documentation, surgeon roles, medical necessity, and payer requirements all support the services billed.
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