Any Advice on When Laterality Modifiers Relevant?

jshaw8808

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I'm a CPC-A who's often at a loss as to whether I should report LT or RT, or just leave them out.

I see lots of guidance on how to correctly use LT/RT modifiers when they do apply, but virtually nothing about how to tell whether they apply. Often, the medical documentation specifies laterality with respect to a procedure, but it turns out that LT/RT shouldn't be reported.

For example, I had an academic case of "replacement of a left ureteral stent," and was informed that 50382 should be reported without the LT modifier.

I understand that different payers may have different guidelines in this regard, but are there any resources that can help one decide whether laterality modifiers should be reported?

Thanks,

James Shaw

CPC-A
 
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