MAY 25, 2017
Postoperative Management Within Same Practice
Question: Should we use modifiers -54 and -55 if another physician in the same practice manages the patient’s postoperative period?
Answer: Do not use modifier -54 Surgical care only or -55 Postoperative management when the patient receives care within the same practice. Payers do not expect to see these codes billed within the shared office setting. For additional information, see the Academy’s Comprehensive guidelines.
Learn more about modifiers in Ophthalmic Coding: Learn to Code the Essentials.