Wiki PreOp care for Extracapsular Cataract Sx 66984

[Billing500]

Hi,

We recently submitted a few claims to NJ Medicare for Preoperative Care for extracapsular cataract surgery. The patient intends on having the surgery with another physician. We billed:

66984 with Modifiers: 56RT, Diagnosis was 366.15

Medicare's response is: Procedure code modifiers for services rendered acknowledgement/Rejected for invalid information.

Any thoughts?

Thank you!

 

[miracle01]

Pre-op care

They probably need more information. Send the office notes and explanation. You can call your MAC and ask how you should send it in, as in an appeal or redetermination etc.
Hope this is helpful. Good Luck!

 

[fhromeo30]

I just researched it an found that Medicare won't reimburse for mod 56. So I would bill the testing, or an E/M or any procedures that the provider was performing.