AMA CPT® Assistant - 2012 Issue 10 (October)

Modifiers 50 and 52: Special Ophthalmological Services (October 2012)

October 2012 pages 9-11 Modifiers 50 and 52: Special Ophthalmological Services A February 1997 CPT Assistant article clarified the use of modifier 50, Bilateral Procedure, when organs or body areas are paired, such as the extremities or the eyes. Since publication of that article, the current methods for performing eye procedures as well as technological changes have affected the way in which modifiers are used when reporting these procedures. For nonsurgical ophthalmological procedures, this is especially apparent. In addition, in certain circumstances, modifier 52, Reduced Services, may be applicable when an inherently bilateral procedure is performed on only one...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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