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
- Exam Preparation
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Software / Digital
- Code Lookup (AAPC Coder)
- Practicode (online coding simulation)
- E/M Analyzer
- CPT RVU Calculator
- Health Plan Search (Provider Policies)
- Book Store
- Log In / Join