Results 1 to 2 of 2

67113, 67228

  1. Default 67113, 67228
    Exam Training Packages
    I have a doctor that is charging 67113 and 67228. These charges are bundled. His argument is he is fixing a retinal detachment, but doing photocoagulation on a separate part of the eye, away from the detachment. Can I add a mod 59 and send this thru? thanks!

  2. #2
    Since 67228 is being done at the same time as 67113 on the same eye, my opinion is that it is not truly a "distinct procedural service" and -59 is not appropriate. Since the codes are bundled, what I would recommend is adding a -22 to 67228 and appeal with the op report for higher reimbursement on the basis that the service provided was greater than that usually required.
    Denise Martin, RHIA, CEDC, CPC

Similar Threads

  1. 67113
    By DOVERRED in forum Ophthalmology/Optometry
    Replies: 3
    Last Post: 06-21-2017, 05:58 AM
  2. Billing of 67228
    By in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-02-2015, 10:06 AM
  3. Use of 67113
    By GRANNAN in forum Ophthalmology/Optometry
    Replies: 2
    Last Post: 06-08-2012, 09:25 AM
  4. 67108 vs 67113
    By cpccoder2008 in forum Ophthalmology/Optometry
    Replies: 1
    Last Post: 07-07-2010, 12:04 PM

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.