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Co-managed patients

  1. #1
    Question Co-managed patients
    Medical Coding Books
    I am new to ophthamology billing and I am hoping someone can help me understand how to correctly bill Co-Managed patients when cataract surgeries have been performed using the 55 modifier. If the surgery took place on 8/19 and the patient was released to the co-managing physician on 8/25 how do I correctly bill this patient for my surgeon if he sees this patient one last time on 8/25 and releases him at that time to Dr. X who is also co-managing? Thanks in advance for any help!

  2. #2
    Location
    Boise, Idaho
    Posts
    96
    Default
    You will bill the cataract surgery with the -55 modifier. The co-managing Dr. will then bill the after care with a -54 modifier.

  3. #3
    Default
    Thank you for the reply How many units do I bill the service with?

  4. #4
    Location
    Boise, Idaho
    Posts
    96
    Default
    For the surgery you bill one unit with the correct eye modifier.

  5. #5
    Default
    Thanks so much!

  6. #6
    Default
    The surgeon should bill with the -54, the co-managing doctor doing the post-op care should bill with the -55 modifier.

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