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Thread: Tonsillectomy

  1. #1
    Join Date
    Apr 2007
    Hamden, Ct

    Default Tonsillectomy

    AAPC: Back to School
    Do you code tonsillectomies bilaterally ?

  2. #2
    Join Date
    Apr 2007
    Stuart Sailfish Chapter


    No. The tonsillectomy codes, and adenoidectomy codes for that matter, assume both side surgery. Therefore, it is not appropriate to append modifier 50 to any of the tonsillectomy or adenoidectomy codes (ie, 42820-42836).

    append modifier 52 (reduced services) to the appropriate CPT code when performed unilaterally (eg, unilateral tonsillectomy for suspected cancer).
    Candice Fenildo, CPC, CPMA, CPB, CENTC, CPC-I
    AAPC Chapter Association Board of Directors ( Chair)
    Region 6, Wisconsin, Minnesota, Illinois, Indiana, Michigan, Ohio

    "Nothing is stronger than the heart of a volunteer"

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