Wiki Re: 0126t - Should cpt 0126t be coded

[lorismack]

Re: 0126t - Should cpt 0126t be coded

Should cpt 0126t be coded as a bilateral procedure (ie 0126t-rt and 0126t-lt) or use the code one time whether bilateral or unilateral? Thanks for your help.

 

[ciphermed]

That is a good question...sorry I didn't find much addressing how to report when performed bilaterally....I can tell you that Medicare only pays for one unit, whether reported as:
0126T
0126T-RT & 0126T-LT
0126T-50

In addition, there are no edits to indicate that reporting with the modifier(s) is inappropriate; there is just no additional payment associated with it.

Hope this helps,

 

[lorismack]

Thanks so much for your help.