Updated December 2022

Question: Our surgeon is performing cataract surgery on a Medicare Part B patient that will be comanaged. We are monitoring the patient for the first seven days. How do we correctly submit the claim?

Answer: The example below shows how the claim form should be submitted:

Patient desires to return to their non-surgical ophthalmologist Dr. Smith for postoperative care following cataract surgery in the right eye, as Dr. Smith’s practice is closer to the patient’s home. Dr. Jones, the surgeon, performs cataract surgery on March 2, 2023 and submits 66984 -54 -RT. Dr. Smith provides postoperative care for all but the first postop date beginning March 9.

Dr. Jones (surgeon) submits as follows:

CMS-1500 Claim Form or Electronic Equivalent

And for the 7 postoperative days:

CMS-1500 Claim Form or Electronic Equivalent

Dr. Smith (providing postop) submits as follows

CMS-1500 Claim Form or Electronic Equivalent