I have a pt the urologist(primary and assistant) were performing nephrectomy. Tumor was invading renal vein and IVC. They called in Vascular surgery(primary and assistant) to remove tumor and thrombus including part of IVC which had to be replaced. Urology performed exposure and closure. The had to call in CT surgeon to perform sternotomy and place pt on bypass and circa arrest. Case lasted close to 7 hours.
Trying to decide if each specialty should bill separately with 80 modifiers for their respective assistants or if should be looking at billing with 62 or even 66
Any suggestions would be appreciated
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