My provider wants to bill the 67145 twice during the same encounter for the same eye, because patient has a hole on one part of the eye, and a horseshoe tear on another part of the same eye. Then 3 weeks later she wants to bill another E/M code and the 67145 again on the same eye, because patient has a new hole. I have been told to use Mod 59 for the first encounter, but I thought it had to be a different anatomical site, and I thought it was only for unbundling 2 separate codes? Then I was told I could just code the 67145-RT-22 for the first encounter. I have never used modifier 22 before, and I read the description, and it seems to make sense, then for the 2nd visit I don't feel it should be billed out at all, but I am so confused now!
Can anyone help me, before I start crying with these 1 or more session codes?