Bilateral Procedure

[modean]

Medicaid patient had 11730 performed bilaterally on great toe at same encounter. Do I use 11730-TA and 11730-T5,59 since both sites are documented as being performed? Any help would be greatly appreciated. Thank you.

 

[sls314]

Medicaid patient had 11730 performed bilaterally on great toe at same encounter. Do I use 11730-TA and 11730-T5,59 since both sites are documented as being performed? Any help would be greatly appreciated. Thank you.

You shouldn't need the 59 modifier, unless the payer insists on having it.

The anatomic modifiers would distinguish that the procedure was on separate body parts, and the anatomic modifiers are more specific than a 59.

The 59 would be redundant, so unless the payer specifically wants it billed that way I would not include it.

 

[amyjph]

Agree, T mods only.

 

[beulastella]

When we have a more specified Modifiers we need to go with T modifiers, if not utilized here you will never find chance to use these finger and toe modifiers