Otolaryngology Coding Alert

Reader Question:

Check CMS For Bilateral Status Indicator

Question: Can I bill 69801 bilaterally?

Florida Subscriber

Answer: Yes. Code 69801 (Labyrinthotomy, with perfusion of vestibuloactive drug[s]; transcanal) is a valid bilateral procedure, meaning you can apply modifier 50 (Bilateral procedure). If you check CMS, you will see 69801's bilateral status is "1," and the description for Status 1 is "150% payment adjustment for bilateral procedures applies."

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