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Blepharoplasty with modifier?

  1. #1
    Cool Blepharoplasty with modifier?
    Medical Coding Books
    I recently started working for a plastic surgeon and today was billing out a procedure where both eyes had a Blepharoplasty done. The suergon wants to bill 2 CPT codes but I think we should use one code with a modifier -50. I was told that the surgeon uses 2 codes because he has a higher reimbursement. The CPT book indicates to use the modifier - 50. Can someone help me and give me some talking points. thanks!!
    Last edited by ridenut; 11-01-2011 at 08:01 AM.

  2. #2
    Default
    Quote Originally Posted by ridenut View Post
    I recently started working for a plastic surgeon and today was billing out a procedure where both eyes had a Blepharoplasty done. The suergon wants to bill 2 CPT codes but I think we should use one code with a modifier -50. I was told that the surgeon uses 2 codes because he has a higher reimbursement but my reaction was that he might be getting a higher paycheck but also commiting fraud. The CPT book indicates to use the modifier - 50. Can someone help me and give me some talking points. thanks!!
    You can do either one. You can bill two lines using mod. -LT & -RT or one code using mod. -50. Check the insurance billing guidelines to see how they prefer it to be billed.
    Jennifer DeWitte, CPC, CPC-P, CPB, AAPC Fellow
    Newport Center Surgical
    Coding & Billing Department
    Vice President
    AAPC Fullerton, CA Chapter

  3. #3
    Default
    Thanks!!

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