DecisionHealth, DecisionHealth - 2018 Issue 9 (September)

Avoid anatomic modifiers on unlisted surgical codes to stay within coding bounds

Question: Can you please provide advice about reporting modifiers with unlisted codes? We are using modifiers 50, 62, 82, RT and LT to communicate to the carrier that the unlisted procedure we are billing is being done bilaterally at times with an assistant surgeon or co-surgeon. However, CPT has expressed this is incorrect. Is there a hard-and-fast rule on using modifiers with unlisted CPT codes?

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