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breast procedure

  1. Default breast procedure
    Medical Coding Books
    Good Morning,
    I need some advice on how to properly bill a bilateral removal of tissue expanders with insertion of permanent saline implants to Medicare.
    11970 was billed with a 50 modifier and denied, saying a bilateral cpt exist for such procedure.
    Please help...
    Thank you

  2. Default

    11970 cannot be billed with a -50 b/c its not bilateral but we bill with two lines and a -59/-51 depending. Or we use 19342 -50 if the circumstances allow. I've found that certain carriers have different restrictions so just check with who you are billing, they should tell you what they want!

    Hope that helps...

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