Wiki Bilateral procedure, one side discontinued

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How would you code the following (Medicare patient): Bilateral frontal balloon dilation, successful left maxillary balloon dilation, discontinued right maxillary balloon dilation? Assuming the patient meets the criteria for "threatens the well-being of the patient".

31296-50
31295-LT
31295-53-RT

or

31296-50
31295-50-53
 
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