NOV 13, 2023
Appropriate Modifier for Category III Codes
The surgeon performed 0449T Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space in the post op period of cataract surgery with goniotomy. Modifier -58 was appended to CPT code 0449T. The claim was rejected by the payer. What is the appropriate modifier to use?
Answer:
You do not need to append any post operative modifier (-58, -78, or -79) to Category III codes. Include the laterality 0449T–RT.