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Otolaryngology Coding Alert

You Be the Coder:

Know CMS Bundling, Modifier Policies for 69210

Published on Thu Jun 13, 2019

Question: I’m getting denials from nearly all carriers when billing out for 69210. These are billed out with an E/M visit with modifier 25 appended. Depending on whether it’s bilateral or unilateral, we append modifier 50, or LT/RT. We get two different types of denials — one for bundling and one for an incorrect modifier. What am I doing wrong? [...]
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