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opthomology question

  1. #1
    Exclamation opthomology question
    Medical Coding Books
    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.

  2. #2
    I'm 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?

  3. #3
    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.

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