Ophthalmology and Optometry Coding Alert
Reader Questions:
Let the Global Period Guide Your Post-Op Coding
Published on Mon Sep 25, 2023
Question: A Medicare patient undergoes panretinal laser photocoagulation (67228) in the left eye and, three weeks later, is seen for a possible retinal tear in the right eye. How should we code the office visit, and is a modifier necessary? Texas Subscriber Answer: The key here is recognizing that 67228 (Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation) has a 10-day global period. Since the office visit occurred three weeks after the laser procedure, it falls outside the global period, so you only need to report an evaluation and management (E/M) or eye exam visit code. No modifier is needed.
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