Wiki CPT 69209

[mjones0611]

Recently, I am having many denials with CPT code 69209 and Medicare. Everything I can find states if the procedure is bilateral to change the units to "2" and do not attach modifier 50. Which I have always done. An E/M is billed with other diagnosis codes other than H61.23. Medicare is continuing to deny 69209 on these claims. Has anyone else had this issue? Thanks for any insight!

 

[lgardner]

We bill 69209 with the -50 modifier.

Also, are you adding a -25 to the E/M?

 

[mjones0611]

We bill 69209 with the -50 modifier.

Also, are you adding a -25 to the E/M?

Yes, I am. You bill with the -50 modifier to Medicare?

 

[lgardner]

yes. on the 69209.

they do not want a modifier on 69210.