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Marisol Posted 6 Year(s) ago

My physician performed a bilateral thyroplasty can we bill this bilaterally? We used CPT code '31588' which does not allow for modifier 50 or 59.


SuperCoder Posted 6 Year(s) ago

Thyroplasty is a surgical procedure that is executed to modify the voice by changing the cartilages of the larynx. The vocal chords, inside the Larynx are changed and repositioned to change the voice. Thyroplasty is also known as laryngeal framework surgery. So, CPT 31588 is appropriate.
The modifier 50 stands for bilateral procedures. The modifier inidcator of 50 for CPT 31588 is "0" which means: 150% bilateral payment adjustment DOESN'T apply. Payment for two sides (50 or RT/LT) is lower of (a) actual charge for both sides or (b) fee schedule amount for single code.
Modifier 59: Check the CCI edits and when you are using modifier 59.

Marisol Posted 6 Year(s) ago

CPT code 31588 is the correct procedure and is not billable as bilateral.

I have spoken to my physician about his dictation and clarified with him what he considers bilateral and is actually additional work we will be using modifier 22.

Neither 50 or 59 are allowed with CPT code 31588. Thanks,

Posted by Marisol, 6 Year(s). There are 3 posts. The latest reply is from Marisol.

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