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Multiple Tongue Biopsies

  1. Thumbs down Multiple Tongue Biopsies
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    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!

  2. #2
    Location
    North Carolina
    Posts
    3,126
    Default
    I would use 59. CMS payment indicator has a 0 (zero) for bilateral procedure.

  3. Default
    Thank you!

  4. #4
    Location
    Salt Lake City
    Posts
    26
    Default 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) .

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