Wiki CPT 67917 with 67880 on same eye

[kellybixby]

A physician wants to bill both of these procedures when they were performed on the same eye. I have read the op report numerous times and researched the procedure on the internet. I am back and forth on whether or not to bill 67880 with a 59 modifier. I know a 59 can be added when there is a separate incision on the same eye. But I don't think that applies with these two procedures. (This payer does not utilize the new X modifiers yet.) I don't want to provide the lengthy details of the procedure here, but can someone tell me when it would be okay to bill these procedures together on the same eye? Thank you.

 

[SuzyRoberts44]

Without reading the details of the procedure, I can't think of anything that would be acceptable, except the obvious: the opposite eye.

 

[mzkandyd]

Attach the op note, copy +paste or email me directly. Do you have a dx for ectropion? Because that would support coding 67917