Wiki Under what circumstance, cpt 68760 or 68761 with modifier 50 is used.

[Xerosis7068]

Under what circumstances cpt code 68760 and 68761 with modifier 50 is used, even not only bilateral lower lids, but also bilateral upper lids.
This is pertains to medicare reimbursement.

 

[prayercoder]

Bilateral modifier

Both codes are unilateral procedures. If performed bilaterally, some payers require that the service be reported twice with modifier 50 appended to the second code while others require identification of the service only once with modifier 50 appended.
Check with individual payers.
Modifier 50 identifies a procedure performed identically on the opposite side of the body (mirror image).
Some providers require the use of RT or LT as modifiers for the procedure codes and should be reported on separate lines.

 

[jro51081@yahoo.com]

Asc

How would you code for the surgery center? Payer is Medicare

 

[Med4Life]

We use E1, E2, E3, and E4 codes to code for these depending on which eyelid the procedure is being done on. Medicare (for Colorado) has specific guidelines when multiple eyelids are done at the same time.

 

[jro51081@yahoo.com]

Sorry yall, I thought we were talking about 66761, I just looked at the numbers wrong!