CommercialReimbursementMedium impact
PAP510 - CPT Modifier 62 - Updated to apply to professional providers
Blue Cross of Idaho·ID · General Surgery, Orthopedics, Cardiothoracic Surgery +8 more·Coding
Effective date
Jun 1, 2024
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho updated policy PAP510 regarding CPT Modifier 62 (co-surgeons) to now apply to professional providers. Surgical procedures billed with modifier 62 will be reimbursed at 62.5% of the maximum procedural allowance or billed charge, whichever is less.
Action Required
Immediately: Billing team must verify that all surgical procedures using CPT modifier 62 for co-surgeon cases are being reimbursed at 62.5% of the maximum allowable amount. Ensure each co-surgeon submits separate billing with their individual NPI numbers. Update billing system documentation to reflect this reimbursement rate for Blue Cross of Idaho commercial plans.