Wiki Category III code and modifiers

[toddandmylissa]

Can modifiers such as 53, 52. 79 & 78 be used on category III codes. We use 0191T and 0449T at our practice. I work for an ophthamology practice and am being told by an AR specialist that we can not.

 

[kostecki]

This article may help:

https://www.aao.org/young-ophthalmologists/yo-info/article/how-to-code-migs-correctly

Modifiers
Category III codes do not recognize modifiers other than -RT or -LT. As a result, the payer is likely to deny your claim if you append modifiers -53 (Discontinued procedure), -54 and -55 (Comanagement) or -79 (Unrelated) when the second eye undergoes surgery within the global period of the other eye.

 

[toddandmylissa]

Thank you for your help!