tci Part B Insider - 2012 Issue 45

Modifiers: Do You Need to Use Eyelid Modifiers?

The answer may depend on your carrier. Thanks to the abundance of bilateral coding rules, remembering whether you should append the eyelid modifiers for procedures like epilation and punctal plug insertions is no easy task -- unless you know these tricks. CPT® provides one modifier for each eyelid: E1 for upper left, E2 for lower left, E3 for upper right, and E4 for lower right. The general rule is to use the E modifiers when a procedure can be performed on any one of the four eyelids -- but real-world coding and billing don’t always allow you to...

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