Wiki Cataract post-op billing

Create Wiki
C

cmfinnyw

Guest
Messages
21
Best answers
0
Hello,

Our ophthalmologist receives many referrals for patients that need cataract surgery. Sometimes the referring doctor wants to do some of the post-op care. The assumed care and relinquished care dates need to be texted into "Box 19".

We bill for the surgery as 66984 with mod 54.

If, for instance, our doc does the post-op care for the first 10 days, is that billed as 66984 with mod 55? Would units come into play - 10 units for the 10 days? Or are the dates shown in Box 19 enough to receive correct payment for all 10 days (and billing 66984 with mod 55 as 1 unit)?

Thanks for your help!
 
Are you performing the surgery? If so, then you would need to send out your codes with modifier 54 on them. The OD whose performing the post op care would need ALL of your CPT and DX codes so they can send their claims out with modifier 55.

As far as the relinquish, you need to indicate which eye and the relinquish date of each eye.
 
Sorry, guess I didn't clearly explain -
Dr A - does the surgery, AND the first 10 days of post-op care.
Dr A bills 66984 - 54, and 66984-55.
Does Dr A bill the 66984-55 with 10 units for the first 10 days of post-op care, or do they just put the dates in box 19??

Dr B does post-op care days 11 - 90.
Dr B bills 66984-55 with 80 units, or just the dates in box 19??
 
Last edited:
You must log in or register to reply here.
Top