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Modifiers -24/-79 for Eye Clinic Coding

  1. #1
    Default Modifiers -24/-79 for Eye Clinic Coding
    Medical Coding Books
    Tell me if this is correct:

    Use of modifiers -24 (E/M)/-79(Procedure):

    1. Different procedures, same eye, within global

    2. Same procedures, different eyes, within global

    3. Additionally, use -57 modifier on E/M (for 90-day globals) and RT/LT on procedures
    Badboy
    CPC, CPMA

  2. Default
    Quote Originally Posted by rhotonscott@yahoo.com View Post
    Tell me if this is correct:

    Use of modifiers -24 (E/M)/-79(Procedure):

    1. Different procedures, same eye, within global

    2. Same procedures, different eyes, within global

    3. Additionally, use -57 modifier on E/M (for 90-day globals) and RT/LT on procedures
    Sounds good to me.

  3. #3
    Default
    Modifier -24 is only used on e/m codes. you would use it if a patient has had a procedure/surgery on the right eye and is coming for a pre-op for the lt eye, you would append -24 on the exam code w/ -LT mod. The other use is if the patient had surgery/procedure on the right eye and then later comes in for a possible infection, injury etc.. (during global period of the 1st eye) on the left eye, you would append modifier -24 to the cpt code w/ add'l mod. of -LT.

    for Modifier -79 you would use if the patient had surgery or procedure on right eye and during the gobal period of the 1st eye, they have the same procedure on the left eye. On the surgery/procedure code you would append mod. -79 w/ mod. -LT.

    Modifier -57 is only used during an exam and the doctor decides this patient needs surgery either that day or the next day (w/in 24 hrs). Modifier -57 w/ the RT/LT would be appended to the exam code.

    Didn't know if you needed clarification or not. Hope this helps.
    Jennifer DeWitte, CPC, CPC-P, CPB, AAPC Fellow
    Newport Center Surgical
    Coding & Billing Department
    Vice President
    AAPC Fullerton, CA Chapter

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