Podiatry Coding & Billing Alert

Question: Which modifier should we report when we recast a patient each week to treat his bilateral clubfeet? Illinois Subscriber

Answer: For weekly castings, you should report 29450 (Application of clubfoot cast with molding or manipulation, long or short leg), and append modifier 50 (Bilateral procedure) to it. You don't need to append another modifier to 29450 because insurers don't assign global surgical periods to casting codes.