1. Cyndi Bartkowiak
   Posted 5 months ago #
   

   Patient had cataract surgery '66984'with diagnosis of 366.10 done on LT eye 30 days ago and has come back to have 3 lesions removed from his RT eyelid '67840' with diagnosis code 216.1. These are 2 completely different procedures but my question is what modifier do I use since he is in post-op? Also, I need to list each lesion removal separately to ensure they are "noticed" by Medicare. Do I need to use 59 modifiers on them as well?

2. SuperCoder
   Posted 5 months ago #
   

   I have not checked LCDs. If everything else is correct with billing, then you have to bill CPT 67840 with modifier 79.
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   Whenever any CPT billed with modifier 22/78/79/58, then we need to refile with medical records to justify that the procedure now performed in the global period of another procedure is unrelated to that previous procedure.
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   You can go to the extent of appeal, if needed.

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