AMA CPT® Assistant - 2001 Issue 10 (October)

Respiratory/Hemic and Lymphatic Systems (October 2001)

October 2001 page 10b Coding Consultation Respiratory/Hemic and Lymphatic Systems, 31365, 38720 (Q&A) Question When a total laryngectomy with bilateral radical neck dissection is performed, should modifier -50, Bilateral procedure, be appended to code 31365, Laryngectomy; total, with radical neck dissection? AMA Comment The larynx is a single midline organ, therefore, it would not be appropriate to append modifier -50 to code 31365 as a laryngectomy cannot be performed bilaterally. Instead, code 31365, Laryngectomy; total, with radical neck dissection should be reported to identify the total laryngectomy and radical neck dissection on one side of the neck. Code...

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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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