This is my interpretation and need clarification on the 50 icon in cpt.
If the 50 icon is next to the CPT code then it means that this procedure is a "bilateral procedure" and you report it once for both sides with no modifier.
If this 50 icon is not present next to the CPT code then it is considered a "Unilateral" procedure unless the word Unilateral is in the description.
Example: CPT 92225, there is no 50 icon therefore if done on both eyes you would report it with a 50 modifier. The Opthalmology Coding Companion clearly states that this is a unilateral procedure.
Please if someone can clarify this for me I would greatly appreciate it. I think I'm going crazy.
Susan Gormsen, CPC
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