Results 1 to 4 of 4

Ophthalmology procedures - help please

  1. Default Ophthalmology procedures - help please
    Medical Coding Books

    I have someone asking me this - she said:

    "We have an ophthalmologist who performed a 66982 surgery on a patient, the next day the pt had issues and the Dr saw this pt 3 different times in one day, he would like to bill a 99213 with procedure 65805 and then 99212 with 65805 and another 99212 with 65805, then the pt came back the day after that 2 different times, the Dr would like to bill 9912 with the procedure 65805 and then 99213 with 65805, then again, the pt came in the next day, the Dr wants to bill 99213 with 65805."

    This is MASS Health.

    The biller has already billed the Cataract procedure. The therapeutic aqueous procedures were done 3 times in one day, 2 the next day and then one more time the 3rd day post op. Can these procedures even be billed considering the cataract surgery has a 90 days global?

    Thank you.

    Cyndee Weston, CPC, CMC, CMRS
    American Medical Billing Association
    AMBACode Coding Software
    2015 AMBA National Medical Billing Conference

  2. #2
    My guess would be that he wouldn't bill the e&m codes and he would use modifier 78 on 65805. I don't deal with Ophthalmology but that would be what I think!
    Herbie W Lorona Jr., CPC, CPC-H

  3. Default
    That's kind of what I was thinking. Thank you!
    Cyndee Weston, CPC, CMC, CMRS
    American Medical Billing Association
    AMBACode Coding Software
    2015 AMBA National Medical Billing Conference

  4. #4
    No problem Cyndee!!!
    Herbie W Lorona Jr., CPC, CPC-H

Similar Threads

  1. New to Ophthalmology
    By lillianivy in forum Ophthalmology/Optometry
    Replies: 3
    Last Post: 11-15-2010, 03:00 PM
  2. Ophthalmology E/M ?
    By cpccoder2008 in forum E/M
    Replies: 1
    Last Post: 02-04-2009, 12:55 PM
  3. Ophthalmology
    By pmayenschein in forum Orthopaedics
    Replies: 1
    Last Post: 08-11-2008, 11:22 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.