tci Outpatient Facility Coding Alert - 2019 Issue Q4

Reader Question: Pinpoint Key Differences Between Bilateral Surgery Indicators

Question: What are the differences between the bilateral surgery indicators? Utah Subscriber Answer: If you’re ever wondering whether to append a laterality modifier on a particular surgical or ancillary CPT® code, you should check the code’s bilateral surgery indicator. The bilateral surgery indicator will reveal one of five options: 0 — The concept of “bilateral” does not apply. This typically means that, physiologically speaking, coding on a left and right side is not possible. Consider a surgical procedure on the heart, such as 33427 (Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring)...

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