tci Outpatient Facility Coding Alert - 2018 Issue 7

Reader Question: Refrain from Modifier Use on Bilateral Indicator 2 Codes

Question: Should I use code G0279 to bill out a unilateral tomosynthesis with a 77065? If so, should I apply a LT/RT modifier to it to tell the payer that it’s a unilateral service? Idaho Subscriber Answer: Since 77065 (Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral) is inherently a unilateral procedure, you might think that a respective unilateral tomosynthesis code may exist to compliment 77065. However, there is actually only one tomosynthesis code, G0279 (Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066), which is applicable for both unilateral and...

To read the full article, sign in and subscribe to tci Outpatient Facility Coding Alert.


TCI's Outpatient Facility Coding Alert helps your facility stay profitable by covering issues that are important to you — everything from billing strategies and appropriate payment indicators to coding tips and tricks, analysis of industry trends, and so much more. Subscribe today and let our experts make your job easier.

  • Current newsletters added each month
  • Fully searchable archives - over 650 articles
  • ALL years/issues back to 2012 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Outpatient Facility Coding Alert +Archives

free demo
request yours today
pricing
for any budget
sign IN
welcome back!