An article in Ophthalmology Coding Alert Vol. 12, No. 3, "Prevent Uni-Bi Reporting Errors With This Expert Insight," recommends billing 92135 (Scanning computerized ophthalmic diagnostic imaging, posterior segment [e.g., scanning laser] with interpretation and report, unilateral), if performed on both eyes, by appending modifier 50 (Bilateral procedure) with "2" in the units field. For some Medicare carriers, that is the correct coding. For example, Palmetto GBA specifies that to receive full bilateral reimbursement for all codes that, like 92135, are marked with bilateral indicator "3" in the Medicare Physician Fee Schedule, "the days/units (quantity billed) field must reflect '2' even when submitting CPT Modifier 50 or when submitting HCPCS modifiers RT and LT on the same detail line." However: Bottom line: Check your local carrier for its preference. There is no modifier 50 policy that applies to all Medicare carriers.