tci Outpatient Facility Coding Alert - 2016 Issue 7

Reader Question: Remember to Use Eyelid Modifiers in Certain Cases

Question: The incisional biopsy of eyelid skin and lid margin is performed multiple times on the same date of service. We understand the bilateral surgical indicator for this procedure is 1, which means a 150 percent payment adjustment for bilateral procedure applies to the professional component. We have several questions about how to bill these procedures. If we perform one biopsy on the right eyelid and one on the left eyelid, do we bill 67810 at 1 unit with modifier 50? What if we perform this procedure on the right upper eyelid as well as right lower eyelid? Do...

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