JUL 19, 2023
Co-managed Cataract Surgery with a Goniotomy
What is the appropriate way to bill for co-managed cataract surgery with a goniotomy when the optometrist will take over complete care of the patient following the surgery?
Answer:
First, verify that the payer allows for co-management. If the payer does not recognize modifiers -54 and -55, then the surgeon will provide all post operative care.
When the payer does allow for co-management, and it is appropriate to comanage for this specific case, the postoperative care would include both procedures. You will need to list both surgical CPT codes with the appropriate co-management modifiers on the claims. Review 5 Co-Management Coding Tips for additional information.