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Wiki 31231 help please

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LizLindsay

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I just starting working for an ENT group. CPT 31231 per Medicare cannot be billed with modifier 50. Any suggestions on what I need to do if bilateral is completed?
 
I agree...you would not bill it bilaterally because the fee schedule and RVU is set assuming the doctor is doing the procedure on both sides. The majority of the time, if a doctor uses the scope to look on one side of the nose, he is going to look on the other side also.
 
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