tci Outpatient Facility Coding Alert - 2019 Issue 3
Reader Question: Check Bilateral Surgery Indicator Before Billing Bilaterally
Subscribe or sign in to view the full article.
Article Overview
This short coding Q&A addresses a common billing scenario involving bilateral procedure reporting and how to verify whether a procedure code supports that type of claim handling. It is aimed at coders and billers who need to understand the general approach to checking payer or code-set indicators before submitting a bilateral claim.
Why This Topic Matters
Incorrect bilateral billing can lead to claim denials or improper reporting. This article helps readers understand that the deciding factor is tied to the code’s indicator status within the applicable code set.
What You Will Learn
- How bilateral procedure indicators affect claim reporting
- Why some procedure codes are not eligible for bilateral billing
- How to check a code’s indicator before using a bilateral modifier
- How a code’s structure can influence laterality reporting
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Coding auditors
Codes Discussed
Modifiers Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com