How would I code 3 pterygium excisions on the LT eye - 2 medial and 1 lateral? Also, my physician is stating that he has been coding pterygium-eye modifier but not indicating number. Is this OK?
How would I code 3 pterygium excisions on the LT eye - 2 medial and 1 lateral? Also, my physician is stating that he has been coding pterygium-eye modifier but not indicating number. Is this OK?
The excision of pterygium with graft (65426) has a multiple procedure indicator of “2”. If performed on the same day as an excision of eyelid lesion, multiple surgery rules apply. The majority of ophthalmic surgical procedures have a multiple indicator of “2”.
2 = Multiple procedure rule applies.
So, Modifier 51 should be used accurately.
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Modifier 51,59,76 need to be used appropriately for multiple procedures, distinct proc., and repeat procedures. All these depend
Additional Info:
http://www.aao.org/aaoesite/promo/coding/upload/2011_Coding_Update_Q-Arev.pdf