Ophthalmology and Optometry Coding Alert

You Be the Coder:

Post-Op Exam With Unrelated Complaint

Question: We did a general eye exam at the patient’s request within the three-month period after cataract surgery. Another physician had done the surgery and initiated follow-up care. We billed 99212, appending modifier 79, but Medicare rejected the claim. When I called their customer service line, they couldn’t tell me which modifier to use — but they did say it would [...]
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