• 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 the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki opthomology question

cynthiaj54

Guest
Messages
48
Best answers
0
One of our Dr. did a cataract removal 66984. The pt was sent later to another out-of-town facility for complications and a 65755 was performed (during the global period). I am billing for post op care only on the second surgery. What Modifier do I use beside Mod. 55 for the postop only care. Mod. 58 and 78 say for the same physician. The second procedure was not performed by one of our doctors. I would appreciate any help given.
Thanks!
 
I'm confused :confused:

the patient is in the global period for the 1st surgery right?

now you want to charge for an e/m visit for follow up of the 2nd surgery that was actually a complication of the 1st surgery (but done by another surgeon)?

Am I close?
 
yes, We bill post -op care only for co-managed surgeries. This is the first that has been in a global period. I billed the procedure code with a 55 modifier and for the remaining global days that the operating surgeon doesn't claim. For example if he relinquished care on the 5th postop day I bill for 85 days.
 
Top