tci General Surgery Coding Alert - 2009 Issue 10
Reader Questions:Base Bilateral Coding on Payer Preference
Question: What is the correct way to code the treatment of multiple varicose veins by endovenous ablation therapy when the patient has bilateral venous incompetence in the greater saphenous veins as well as incompetent perforators bilateral and deep system incompetence? Our office codes as follows: 36475-LT, 36476-LT, 36475-RT,36476-RT using one unit on each code listed. Is this correct coding? Minnesota Subscriber Answer:. Essentially you have the right codes but you may be missing some revenue. You may also be better off using modifier 50 (Bilateral procedure) rather than LT (Left side) and RT (Right side) in some cases...
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