CommercialBilling CodesMedium impact
00.10.11ab, Modifier 62: Two Surgeons
Independence Blue Cross·General Surgery, Cardiothoracic Surgery, Orthopedics +4 more·Coding
Effective date
Jan 13, 2025
We identified it
Jun 19, 2026
Summary
Policy 00.10.11ab addresses the use of Modifier 62 (Two Surgeons) for billing purposes. This recent policy (effective 01/13/2025) provides updated guidance on when and how to apply this modifier to surgical claims. The billing team must review the full policy details to understand specific requirements for documenting and coding two-surgeon procedures.
Action Required
By January 13, 2025: Billing team must obtain and review the complete policy text at https://medpolicy.ibx.com/ibc/Commercial/Pages/Site-Activity-View.aspx?FilterField1=MPSiteActivityLogMonth&FilterValue1=01&FilterField2=MPSiteActivityLogYear&FilterValue2=2025#commercial-00-10-11ab to understand specific requirements for Modifier 62 application. Update billing software and encounter documentation templates to ensure compliance with new two-surgeon billing guidelines. Train providers and surgical staff on proper documentation requirements to support modifier 62 claims. Providers must ensure dual-surgeon involvement is clearly documented in operative reports. Failure to comply may result in claim denials or recoupment.