We normally see our post op cataract cases the day after surgery and do our billing accordingly for one eye at a time. My question is I have a patient coming in that had surgery on OD and then the next day on OS and then will follow up with us on the third day for Post Op care. Can I bill both post op exams (one for each eye) on the same visit? So basically a 66984 55 RT and a 66984 79 55 LT??
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Post Op Cataract Surgery Billing
- Thread starter nicholebingham@yahoo.com
- Start date
Cheezum51
True Blue
You should be able to since the date of service/surgery is different for each eye.
Tom Cheezum, OD, CPC, COPC
Tom Cheezum, OD, CPC, COPC
SharonCollachi
Guest
So your provider is only doing post-op care and someone else is doing the surgery? (modifier 55)
KFOX8408
Guest
Modifier 54 is for the surgeon/surgical care and modifier 55 is for the physician/post op care. We use 66984-55-RT/LT for the first eye and 66984-79-55-RT/LT for the second eye billed. Since the surgeries are different DOS per eye, then you could bill both as long as the dates match the transfer of care dates from the surgeon. We co-manage in our practice with an ophthalmologist who does our cataract extractions.