casslouch
Contributor
Nasal endoscopy, 31231, if documented bilaterally is it appropriate to bill this out bilaterally. If so which modifier would be most appropriate, LT59 or LT52
Thank you in advance.
Thank you in advance.
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Help with 31231
- Thread starter casslouch
- Start date
1formissy
Guru
You cannot bill this code bilaterally because the description of the CPT code says
Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure).
The payment indicator is 1 meaning the 150% rule does not apply. Also, the MUE count is 1.
Therefore, you would report it as 31231 x 1 unit only.
Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure).
The payment indicator is 1 meaning the 150% rule does not apply. Also, the MUE count is 1.
Therefore, you would report it as 31231 x 1 unit only.
casslouch
Contributor
Thank you so much! Do you have website information that will help me with the MUE in the future for other codes I have ?'s on. Only 1 year into this coding job and I love it however I do not have very many informational resources.
Thank you in advance.
Thank you in advance.
1formissy
Guru
Here is the link to the website for more information regarding MUE's.
http://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/MUE.html
Also, you may want to look into some type of NCCI edits software to assist you in coding. Make sure you use one that updates quartely, because Medicare updates every quarter and there are always changes.
http://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/MUE.html
Also, you may want to look into some type of NCCI edits software to assist you in coding. Make sure you use one that updates quartely, because Medicare updates every quarter and there are always changes.