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April 2015

Follow these guidelines to report bilateral services

When you’re reporting bilateral services on professional claims, the appropriate bilateral procedure code should be reported when services are performed on the exact same anatomical sites. This means aspects or organs on both sides of the body during the same session by the same physician.

Only use modifier 50 when the procedure code description doesn’t state the procedure is bilateral. Modifier 50 should be appended to the appropriate unilateral procedure code as a one-line entry on the claim with a quantity of one.

For more information or questions regarding this process, contact your provider consultant.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2014 American Medical Association. All rights reserved.