Am new to ENT coding and have a question regarding billing bilateral procedures. Everyone I have talked to gives different answers, so am not sure what to go with. Would you bill say a 69436 tympanostomy as one line item with the -50 and the price at 150%; or do we bill it as two line items with the -50 on the second code. Also, if we bill it as two line items, would we charge full price for the second code and let the insurance comp reduce it on their own? I'm really confused with all of this for now! Any help would be appreciated.