Wiki Cpt code 21025

[jocoffey]

Hi,

one of our ent physicians is wanting to bill cpt code 21025-bilaterally w/modifier 50- which is not an appropriate to modifier per our

code correct system. He did mandible resections on the right and left mandible. Does anyone code this procedure and is it appropriate

to bill with modifier 59, or this code considered a bilateral code? Any help would be appreciated.

Thanks in Advance

 

[CodingKing]

Code has MUE of 2 so I'd just bill 2 units. There is only one mandible. Bilateral is things you have pairs of like arms, legs, eyes etc

 

[jocoffey]

thanks

Thank you very much for your help.