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Blepharoplasty - bilateral

Mary Posted Tue 27th of March, 2012 18:28:14 PM

Our physician has done some of these surgeries and we are now getting feedback from our billing department questioning the use of the modifier "50" - they say that it should be billed twice but I said that all I read points to listing the 15823 once with a modifier-please help-appreciate any input on this-

SuperCoder Answered Tue 27th of March, 2012 19:06:49 PM

With blepharoplasty, however, bill using the -LT and -RT modifiers. For some Medicare carriers, if bilateral, bill modifier -50 on one line.

Some Medicare carriers require the eyelid modifiers for any eyelid section. In fact, you should use codes with the eyelid modifiers just for information so you will have a record in case a subsequent lid is treated in the future. All of these codes are major surgery with 90 days of postoperative care included.

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