Wiki Cataract Op Report

[TMB1965]

The physician I work for wants me to bill a traumatic cataract surgery with a vitrectomy, and I know these codes are bundled, and can only be unbundled with a modifier 59, but my physician wants me to bill the modifier 51. What can I look for in the op report, because I am pretty new at this and haven't read many ophthalmology op reports, so any advice and help you can give me would be greatly appreciated, because my physician doesn't understand the modifier 59.

 

[elizabethf47@gmail.com]

Cataract Surgery w vitrectomy

You append modifier 59 to vitrectomy code to signify is not part of the cataract surgery.

If you are new to ophthalmology, you should get the Ophthalmic Coach by the American Academy of ophthalmology. It gives you all coding guidelines and CCI edits.

Hope this helps.

Elizabeth

 

[TMB1965]

I thought about getting that book too, so thank you!

 

[vpcats]

What vitrectomy code did he use? Some are not separately billable, even with modifiers.