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Last 10 Posts (In reverse order)
Guest Posted: Monday, December 27, 2021 4:34:39 AM(UTC)
 
Originally Posted by: Guest Go to Quoted Post
Hi, my surgeons want to bill 21031 bilaterally but I am not seeing that a 50 modifier can be used on this cpt code. Can you help?


Coding for bilateral procedures can be confusing. Many payers accept CPT modifier 50 as an indicator of a bilateral procedure, but they differ in how they apply it to their coding and payment policies.
and regarding your issue, there is no need for modifier-50 for bilateral.

Merci: Return policy
courtneydsnow Posted: Monday, December 20, 2021 2:05:27 PM(UTC)
 
Hi Guest!

You will bill out 1 unit of it. If the procedure is more complicated/difficult/time consuming that "normal", you can consider the modifier 22 for "increased procedural service".

Hope this helps!
Guest Posted: Thursday, December 16, 2021 12:11:22 PM(UTC)
 


Hello! So if my doctor removes tori on both sides do we bill it out twice? Or just once?
courtneydsnow Posted: Friday, February 12, 2021 9:08:47 AM(UTC)
 
Hi Guest!

21031 - Excision of torus mandibularis

Yes I don't show that the modifier 50 for bilateral procedure is necessary for this code, although some medical insurers may accept it. Since the description specifies location as mandible, no need for bilateral since there is only 1 mandible in the body!

If the procedure was more involved/difficult/extensive than the norm, you may instead consider modifier 22 for "increased procedural service"

Hope this helps!
Guest Posted: Thursday, February 11, 2021 8:53:55 AM(UTC)
 
Hi, my surgeons want to bill 21031 bilaterally but I am not seeing that a 50 modifier can be used on this cpt code. Can you help?

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