Is anyone performing bilateral lensectomies on the same day but during different operative sessions? I am wondering what the consensus is for billing them as either a)one procedure with discontinuous time or b)as two separate procedures, the second having a -59 modifier appended. For example: pt has right eye done from 0700-0745 under MAC, goes to PACU, is under the care of PACU nurses and then from 100-1045 has the left eye done under MAC as well. I would appreciate any input you have.
Christine Schmitz, CANPC, CPC