THERE ARE several areas of ophthalmology practice that are being affected by comanagement: (1) cataract surgery and the use of the Current Procedural Terminology 54/55 modifiers, (2) refractive surgery, and (3) perioperative care within managed care organizations. Comanagement is defined herein as a delegation of patient care services related to surgery: the surgeon arranges for certain aspects of preoperative or postoperative care to be delivered by another health care provider (typically another ophthalmologist or an optometrist). These arrangements per se are not unethical; however, ethical and legal concerns arise when fees are divided between providers or when referral networks are established.
Packer S, Lynch J. Ethics of Comanagement. Arch Ophthalmol. 2002;120(1):71-76. doi:10.1001/archopht.120.1.71