Question:
Illinois Subscriber
Answer:
Medicare always excludes testing procedures from the global surgical package and pays for them separately. No modifier is required. Report 92250 (Fundus photography with interpretation and report) without a modifier.If the purpose of the visit was to follow up the chronic condition of the glaucoma, and not a post-operative evaluation of the cataract surgery, append modifier 24 (Unrelated evaluation and management service by the same physician during a postoperative period) to the E/M visit code. Use the ICD-9 code for the type of glaucoma for the claim -- in this case, 365.11 (Primary open-angle glaucoma).