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42330

R

rich203

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44
Please help- I have a report for 42330. My question is can this code be used for both rt and lt side with multiple stones or do I need to code this twice with -59 or RT and LT?
Thank you
 
This procedure is intraoral, which means performed within the mouth. The physician performs surgical removal of a calculus (stone/concretion) from a salivary duct/gland. The calculus is approached through an incision within the mouth, and a portion of surrounding tissue may also be removed if the size of the stone is large. The wound is then closed over a drain. This is a simple procedure.

150% payment adjustment for bilateral procedures does not apply. If procedure is reported with modifier -50 or with modifiers RT and LT, base the payment for the two sides on the lower of: (a) the total actual charge for both sides or (b) 100% of the fee schedule amount for a single code.

by the way you should check out AAPC Coder. its free until Dec 31st :) that us where this information came from
 
Thank you so much for this information. Yes, I will check out AAPC coder! Thanks again and have a great day !
 
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