OAR 410-140-0300
Post-operative Care


The Division reimburses all covered surgical procedures as global packages, except when the surgeon codes the surgical procedure with a modifier indicating surgical procedure only, excluding post-operative care.


Post-operative care provided outside the global package is:


Reimbursable to optometrists when furnished within their scope of practice;


Billed with:


The surgical CPT code billed by the surgeon;


The appropriate modifier noting post-operative care only; and


The first post-operative date of service; and


Reimbursed a percentage of the global reimbursement.


Post-operative care includes all related follow-up visits and examinations provided within:


Ninety days following the date of major surgery; or


Ten days following the date of minor surgery; and


Claims for evaluation and management services and ophthalmological examinations billed within the follow-up period shall be denied.

Source: Rule 410-140-0300 — Post-operative Care, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=410-140-0300.

Last Updated

Jun. 8, 2021

Rule 410-140-0300’s source at or​.us