Donna Posted Thu 12th of December, 2013 10:20:20 AM
One of our cataract surgeons did cataract surgery on a patient. During post op period after cataract surgery patient developed a retinal tear. Our retina specialist did a PRP in our office. Do I need a special modifier to bill for the repair?
SuperCoder Answered Thu 12th of December, 2013 15:15:43 PM
Yes, use modifier -24 on the PRP code.
Donna Posted Tue 31st of December, 2013 15:33:15 PM
I THOUGHT 24 MODIFIER WAS ONLY FOR E&M CODES
SuperCoder Answered Wed 01st of January, 2014 00:03:48 AM
When a cataract surgery is performed and followed by a PRP within 90 days, append modifier 79 to the PRP.
I apologize for the earlier answer. Thanks for bringing this into notice.
Happy New Year.