Wiki 14021 w/ mod 50?

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Murphy, NC
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Does anyone know if 14021 can be billed with modifier 50? A provider at my practice performed scalp surgery on the LT and then the RT (same session). Can 14021-50 be coded? If not, can 14021-RT and 14021-59-LT be billed? Thanks!
 
Per CMS Physician Fee Schedule, cannot use laterality modifiers (LT, RT, 50) for 14021. The same applies to most integumentary procedure codes, as the skin is considered a single organ without laterality.

If indeed two distinct sites were involved, code 14021 twice, with modifier -59 on the second.
 
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