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Dx questions with 69436

C

churst21

Networker
Messages
56
dr. done a 69436-50 but as to different findings. the left ear has 3829 and the right 3813. how would the cpt be coded. would it be left and right to show what finding was for what ear or would i leave the 50 modifier on it?
 
I couldn't find any documentation on this question - maybe someone else has some? But if the payer requires using a -50 modifier (like a lot do, versus 2 separate charges), I would list both diagnoses on the one 69436-50 line. You are required to code to the most specific diagnosis; if there is chronic non-suppurative in one ear but the unspecified in the other ear, and those are your most specific, I would put both on the line that has the -50 procedure.
 
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