• EUA in Opposite Eye Same Day as Another Procedure

    Question: Our surgeon performed CPT code 67040 Vitrectomy, mechanical, pars plana approach, with endolaser panretinal photocoagulation on their right eye and CPT code 920108 EUA on their left. This was done on the same day as their outpatient surgery. Can you give me any guidance on billing?

    Answer: An EUA is bundled into most surgeries, including 67040. To unbundle you will need to append modifier -59 on 92018. Also append the appropriate eye modifiers. You may choose to include additional language in box 19 about each eye and any other useful information.

    Only append the applicable ICD-10 codes to each eye so that you are not linking the diagnoses for the vitrectomy to that of the EUA.

    Learn more about surgeries in the Complete Guide to Retina Coding.