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Blepharoplasty with modifier?

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ridenut

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Daytona Beach, FL
I recently started working for a plastic surgeon and today was billing out a procedure where both eyes had a Blepharoplasty done. The suergon wants to bill 2 CPT codes but I think we should use one code with a modifier -50. I was told that the surgeon uses 2 codes because he has a higher reimbursement. The CPT book indicates to use the modifier - 50. Can someone help me and give me some talking points. thanks!!
 
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ridenut said:
I recently started working for a plastic surgeon and today was billing out a procedure where both eyes had a Blepharoplasty done. The suergon wants to bill 2 CPT codes but I think we should use one code with a modifier -50. I was told that the surgeon uses 2 codes because he has a higher reimbursement but my reaction was that he might be getting a higher paycheck but also commiting fraud. The CPT book indicates to use the modifier - 50. Can someone help me and give me some talking points. thanks!!
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You can do either one. You can bill two lines using mod. -LT & -RT or one code using mod. -50. Check the insurance billing guidelines to see how they prefer it to be billed.
 
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