| Ophthalmology is the field of medicine which deals | | | | need to append modifier 24 in this case. |
| with the diagnosis and treatment of disorders of | | | | Modifier 25 is commonly used when the patient |
| the eye. As such, ophthalmology coding is the | | | | comes in for an examination and during the test, |
| method of coding the diagnostic procedures for | | | | the doctor decides on an intravitreal injection. |
| treatments pertaining to ophthalmology. | | | | Here you need to append modifier 25 to the E/M |
| An important component of ophthalmology coding | | | | or eye code to show that the exam and injection |
| is the right use of modifiers. The wrong modifier | | | | were separately identifiable services. The modifier |
| can wreak havoc on your claims. | | | | would not have been used if the decision to |
| As with other ophthalmology services, the wrong | | | | perform the intravitreal injection had been made |
| modifier can drastically diminish your Age-related | | | | at an exam performed prior to that day. |
| Macular Degeneration (AMD) claims. You need to | | | | To get more insight on coding of ophthalmology |
| finish your claim with modifiers LT (Left side) or | | | | and the best ways to get your modifiers right, |
| RT (Right side) as needed. You may also have to | | | | attend an audio conference and see the |
| append modifier 24 or modifier 25. | | | | difference it brings to your ophthalmology coding |
| For modifier 24, here's a potential scenario: A | | | | know-how. |
| patient undergoes cataract surgery, and sees | | | | When you register yourself for an ophthalmology |
| your retina specialist during the post-op period for | | | | coding audio conference, you'll come out on top |
| followup of wet macular degeneration. Since the | | | | of your ophthalmology coding. So get going. |
| wet AMD is not related to cataract surgery, you | | | | |