Wiki breast procedure

[intelone2]

Good Morning,
I need some advice on how to properly bill a bilateral removal of tissue expanders with insertion of permanent saline implants to Medicare.
11970 was billed with a 50 modifier and denied, saying a bilateral cpt exist for such procedure.
Please help...
Thank you

 

[lkoch829]

Hi,

11970 cannot be billed with a -50 b/c its not bilateral but we bill with two lines and a -59/-51 depending. Or we use 19342 -50 if the circumstances allow. I've found that certain carriers have different restrictions so just check with who you are billing, they should tell you what they want!

Hope that helps...