My Dr. wants me to bill the E-4 modifier with 15732, 67916 & 68810, but according to what I have read you can't use e-modifiers on 15732 or the 68810, and it needs to be RT or LT. Any suggestions or input would be greatly appreciated. Thank you! 
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Wiki Help with E-modifiers
- Thread starter TMB1965
- Start date
vpcats
Guest
I agree with you. Can you show him your references? Maybe get the LCDs from your Medicare carrier, if they exist for these codes?
Or you may have to wait to get denied and show him that.
Or you may have to wait to get denied and show him that.
mzkandyd
Guest
E modifiers represent lids on the eye. If you code is per eye then the E modifiers are not allowed (i.e. epilation). If your code allows E-modifiers (punctum plugs....68761) then you would use the E-modifier in accordance with your physicians documentation on each lid serviced.
As far as the 15732, that is integumentary and you can also show RT or LT. ALWAYS check your guidelines....that is your rule book on what you can and can NOT do.
Hope this helps.
As far as the 15732, that is integumentary and you can also show RT or LT. ALWAYS check your guidelines....that is your rule book on what you can and can NOT do.
Hope this helps.