NOV 28, 2017
Billing Comanagement
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.