Wiki Billing CPT code 19342 bilateral

[Rhonda0629]

Hello,

I am new to this and I am looking for a little bit of help. Our DR. performed a 19342 bilaterally. We had originally billed that code with 2 units. It was denied for procedure code is inconsistent with the units billed.

I am reading there are multiple ways to bill this and I am not sure which is correct.

Would I want to bill 2 lines of 19342 with the LT and RT modifier? And would it still need a 50 modifier?

 

[dkissel]

Depending on your payer you could bill it one of two ways. Most would accept ONE line with 19342-50 (which would show bilateral and equal two units.) There may be few exceptions that will take 19342 on ONE line with BOTH RT and LT modifier. This can't be billed with quantity two or on two lines.