Can 65800 and 67028 be billed together?

CPT code 67028 (Intravitreal injection of a pharmacologic agent (separate procedure)) shall not be reported with CPT codes 65800-65815 (Paracentesis of anterior chamber of the eye (separate procedure);…) when both procedures are performed on the same eye at the same patient encounter.

Does CPT code 66984 need a modifier?

For example, if a patient has cataract surgery with an IOL in the right eye (66984-RT), the global period is 90 days, so any other surgery done on this patient’s eyes in the next 90 days needs a modifier.

Is CPT 66984 a surgery?

For purposes of this measure, only the following CPT cataract surgery codes should be used: 66982: Cataract surgery with insertion of intraocular lens, complex. 66983: Cataract surgery, intracapsular, with insertion of intraocular lens. 66984: Cataract surgery, extracapsular, with insertion of intraocular lens.

What does CPT code 66984 mean?

Extracapsular cataract removal with insertion
66984—Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (e.g., irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation.

What is procedure code 67028?

CPT® 67028, Under Vitreous Procedures on the Posterior Segment of the Eye. The Current Procedural Terminology (CPT®) code 67028 as maintained by American Medical Association, is a medical procedural code under the range – Vitreous Procedures on the Posterior Segment of the Eye.

What is modifier 55 used for?

Modifier 55 When a physician or other qualified health care professional performs the postoperative management and another physician performed the surgical procedure, the postoperative component may be identified by appending this modifier to the surgical procedure.

What is the append modifier for CPT code 66984?

Append modifier -59 to CPT code 66984 because this is the secondary procedure submitted on the claim due to its lower allowable. Payment would be 100 percent of the PPV procedure and 50 percent of the cataract surgery.

What’s the difference between CPT 67025 and 67028?

CPT 67028 describes an intravitreal injection of a pharmacologic agent, separate procedure. 67025 is a major surgery with a 90-day postoperative period; 67028 is a minor procedure with zero postoperative days.

When to use code 66982 for cataract surgery?

Some coders say they would never use 66982 unless the physician knew in advance that he or she would need to perform complicated cataract surgery. Requiring that a physician know in advance that he or she must use 66982 sends a good message about how ophthalmologists should use this code, Roberts says.

Is there a CPT for intraocular lens prosthesis?

CPT 67005 and CPT 67010 are listed as components of 66984 (extracapsular cataract removal with insertion of intraocular lens prosthesis [one stage procedure], manual or mechanical technique [e.g., irrigation and aspiration or phacoemulsification]) on the Correct Coding Initiative (CCI) and are not separately payable for iatrogenic complications.