AMA CPT® Assistant - 2007 Issue 1 (January)
Surgery: Eye and Ocular Adnexa (January 2007)
January 2007 page 28d Coding Communication: Surgery: Eye and Ocular Adnexa Question For diagnostic purposes, the physician closed the patient's lacrimal puncta with a collagen plug for dry-eye syndrome. A week later, the lacrimal puncta was therapeutically closed with a silicone plug. Is it appropriate to append modifier 76, Repeat procedure by same physician , to the second procedure code (ie, 68761 ) to indicate that this is a repeat procedure by the same physician? AMA Comment No. Modifier 76 is not appended because the two services, although both are reported with code 68761 , Closure of the lacrimal punctum; by...
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Article Overview
This article is a brief CPT Assistant coding communication for eye and ocular adnexa services. It addresses a question about reporting a lacrimal puncta closure service when similar procedures are performed close together for different clinical reasons, and it highlights the general modifier-related guidance discussed by AMA. It is most relevant to coders and billing staff working with ophthalmology-related procedures and CPT reporting policy.
Why This Topic Matters
It helps readers understand how the article frames repeat-procedure modifier use in an ophthalmology setting and why the distinction between similar services matters for CPT reporting.
Article Sections
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Coding Communication: Surgery: Eye and Ocular Adnexa
Introduces a coding question involving an ophthalmic procedure and a modifier-related reporting issue. The section presents the AMA's response in the context of CPT Assistant guidance.
What You Will Learn
- The article’s focus within CPT Assistant coding communication for eye and ocular adnexa services.
- How the discussion addresses modifier-related questions for similar procedures performed in a short timeframe.
- The general context in which ophthalmology coders seek guidance on reporting questions.
- The type of AMA commentary provided in response to a coding question.
Who Should Read This
- Medical coders
- Coding auditors
- Billing specialists
- Ophthalmology practice staff
- Revenue cycle professionals
Codes Discussed
Modifiers Discussed
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