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  • When Should We Unbundle?

    Question: When is it appropriate to unbundle CPT codes 67113 and 66982 or 66984?

    Answer: It would be appropriate to use modifier -59 to unbundle these procedures when:  
    • It is documented preoperatively that both procedures need to be performed. 
    • The medical necessity for cataract surgery is documented preoperatively per payer policy.
    • Separate incisions are used for each procedure.
    The payer may require supporting documentation (preoperative exams and operative reports).