Question Medicare denies cpt 27692 LT

[LissetteG]

Hi, should this code be billed with anatomical modifier or modifiers at all? Thanks!

 

[iowagirl77]

Yes, it is appropriate to bill it with the laterality modifier (RT or LT). What is the denial reason they gave?

 

[amyjph]

It is difficult to answer, are you sure that the code is being denied for laterality modifiers? What were the rest of the codes billed? Does the ICD-10 laterality match the CPT modifier (typo error?). 27692 is an each additional add on code. I think even if you did not append a laterality modifier it may go through provided the other coding was correct. Generally, as stated above you can use LT/RT on it. You see these a lot of times when they are doing large foot & ankle cases with multiple other codes like flat foot reconstructions, with calcaneal osteotomies, and posterior tibial tendon work, etc.