tci Outpatient Facility Coding Alert - 2017 Issue 6
Reader Question: Coding for Bilateral Procedures in ASC Setting
Question: I am new to ASC coding, having worked previously in hospital outpatient departments. How am I supposed to code for bilateral procedures? Answer: One of the biggest differences between ASC and hospital outpatient department (HOPD) coding is how you indicate bilateral services, says Amy C. Pritchett, BSHA, CPC, CPC-I, CANPC, CASCC, CEDC, CASCC, CRC, CCS, CDMP, CMPM, ICDCT-CM, ICDCT-PCS, CMRS, C-AHI, who spoke at the American Academy of Professional Coders’ recent Healthcon. Don’t use modifier 50 for ASC claims, Pritchett reminded attendees. Instead of modifier 50, use modifier RT or LT. Medicare has recently begun to say...
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