Wiki Multiple Tongue Biopsies

[sbiegler]

My doc reported cpt 41113 x2, and is attempting to use the -50 mod. Would this be correct, as he did a biopsy of both the right and left side of the tongue? Or would the -59 mod be more appropriate?

Thanks!

 

[RebeccaWoodward*]

I would use 59. CMS payment indicator has a 0 (zero) for bilateral procedure.

 

[sbiegler]

Thank you!

 

[evonp]

Evon P

We have tried and found the only way to get this paid is to break it out with the 59 modifier (and then usually you have to send in notes) .