Wiki CPT 69209

[mjones0611]

Recently, I am having many denials with CPT code 69209 and Medicare. Everything I can find states if the procedure is bilateral to change the units to "2" and do not attach modifier 50. Which I have always done. An E/M is billed with other diagnosis codes other than H61.23. Medicare is continuing to deny 69209 on these claims. Has anyone else had this issue? Thanks for any insight!

diagnosis codes, diagnosis coding

 

[lgardner]

We bill 69209 with the -50 modifier.

Also, are you adding a -25 to the E/M?

diagnosis codes, diagnosis coding

 

[mjones0611]

We bill 69209 with the -50 modifier.

Also, are you adding a -25 to the E/M?

Yes, I am. You bill with the -50 modifier to Medicare?

diagnosis codes, diagnosis coding

 

[lgardner]

yes. on the 69209.

they do not want a modifier on 69210.

diagnosis codes, diagnosis coding