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Otolaryngology Coding Alert

You Be the Coder:

Check Status Indicators Before Billing Bilaterally

Question: Can you bill CPT® code 42808 bilaterally? Michigan Subscriber Answer: In order to determine whether or not you may bill a CPT® code bilaterally, you should determine the code’s bilateral status indicator, located within the Medicare Physician Fee Schedule (MPFS). According to CMS, the bilateral status indicators are as follows: 0 — Bilateral surgery rules do not apply. Do [...]