DEC 01, 2022
How to Bill for Co-Managed Cataract Patients
When our ophthalmologist sees the patient for post-op day one is it appropriate to bill 66984 –54 and no additional post-op days? Is reimbursement different when the surgeon performs 2 weeks of postop care and before transferring care to the co-managing provider?
Answer:When your surgeon is providing a portion of the 90 days of postop you would submit a separate bill line with the surgery code and modifier -55 and report the date range of postop care in item 19 of the CMS-1500.
The
Fundamentals of Ophthalmic Coding book provides education on co-management.
See also
Comanagement and Post-Operative Billing and
5 Co-Management Coding Tips.