decisionhealth Newsletters, Answer Books - 2008 Issue 5 (May)
Answer_Book / Surgery_Bilateral / SURGERY_BILATERAL
Subscribe or sign in to view the full article.
Article Overview
This article covers Medicare reimbursement concepts for bilateral surgical procedures, same-day additional procedures, and situations involving two surgeons working on opposite sides of the body. It is useful for surgeons, coders, and billing staff who need a broad understanding of how bilateral procedure reporting and related Medicare payment rules are discussed in a coding reference. The article also references examples, a historical HCFA memo, and the distinction between procedures designated as bilateral in CPT versus those billed with a bilateral modifier.
Why This Topic Matters
Bilateral surgery and co-surgery situations can affect payment methodology and claim reporting. Understanding the article helps users locate guidance relevant to Medicare payment structure and modifier-based billing for surgery.
What You Will Learn
- How Medicare payment is discussed for bilateral surgical procedures
- How same-day additional procedures are grouped in relation to a bilateral procedure
- How co-surgery scenarios involving two surgeons are addressed at a high level
- How CPT designation and modifier-based reporting are contrasted in the article
Who Should Read This
- Surgeons
- Medical coders
- Billing staff
- Revenue cycle teams
- Compliance staff
Codes Discussed
Modifiers Discussed
Subscribe or sign in to view the full article.


Quick, Current, Complete - www.findacode.com