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Wiki facial fractures

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jocoffey

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Hi all,

Can anyone help me in billing for cpt code 21347, our doctors says we can bill 21347 for the right side and 21347-59 for the left side. Has anyone bill this code this way and gotten paid? please advise. Thanks
 
Since a LeFort Fracture is bilateral, CPT code 21347 is also bilateral and should not be billed with a 50 modifier or as a unilateral code.

Karen Zupko & Associates, PC gives a good Q&A explanation in their coding archives:

"
Question:
I performed open reduction internal fixation of bilateral Le Fort II fractures through multiple approaches. Would this be coded as 21347-50? Otherwise asked, does 21347 constitute a repair of a unilateral Le Fort fracture?

Answer:
The Le Fort fracture repair codes should not be reported with the bilateral modifier (50). A Le Fort fracture is inherently bilateral; therefore, the repair procedure (and CPT code) is also inherently bilateral."

http://www.karenzupko.com/resources/codingcoach/cc_plasticsarchive_2012.html

Hope that helps.

Jennifer M. Connell, BA, CPC, CENTC, CPCO
 
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