Wiki bialteral modifiers with 31297, 31295 and 31255

[lrogerson]

Can these codes be used with modifier 50? and on the same claim as 31296?

 

[vlh12115]

Per 2015 CPT Respiratory system guidelines, at beginning of endoscopy section, "Codes 31233 - 31297 are used to report unilateral procedures unless otherwise specified". I would interpret that to mean, you may use modifier 50, if the physician documentation supports it.

 

[Candice_Fenildo]

Yes. Those sinus codes are unilateral per the CPT guidelines.