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Re: 0126t - Should cpt 0126t be coded

  1. #1
    Default Re: 0126t - Should cpt 0126t be coded
    Clearnace Sale
    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.

  2. Default
    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-RT & 0126T-LT

    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,
    Anthony McCallum, CPC, CIRCC, CPC-I, CCS

  3. #3
    Thanks so much for your help.

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