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Otolaryngology Coding Alert

Reimbursement:
Watch for Inconsistencies With 69210 Bilateral Payment Before Filing Your Claims

Avoid modifier 50 with CMS, but leave it for private payers. Coders and providers were glad to see a revision to the descriptor for 69210 (Removal impacted cerumen requiring instrumentation, unilateral) in 2014 AMA CPT® to specify “unilateral.” – but implementing the change has come with some challenges. The expectation: The “unilateral” detail meant providers could append modifier 50 (Bilateral procedure) [...]



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