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  • Cataract/Anterior Segment Modifiers Ask the Expert

    Billing Comanagement


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    Question: How do we submit the claim when we are comanaging CPT code 66984 Cataract extraction with IOL and the surgeon sees the patient for the first 10 days?

    Answer: Submit the claim as follows. Remember to include the start and stop dates in descriptor box 19 on your claim.

    For example: PO care begins XX/XX/XX  relinquished XX/XX/XX.
    66984 -54 -eye modifier, 1 unit
    66984 -55 -eye modifier, 1 unit

    Payment for the postoperative period is about 20 percent of the allowable for surgery.

     Learn more about modifiers in Ophthalmic Coding: Learn to Code the Essentials.