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  • CMS Releases FY 2026 ICD-10-CM Update - AAPC
    The fiscal year (FY) 2026 ICD-10-CM update adds 487 new diagnosis codes, revises 38 codes, and invalidates or deletes 28 codes Read on to learn how this Effective for dates of service on or after Oct 1, 2025, the ICD-10-CM code set will be updated with 487 new diagnosis codes
  • Steer Clear of Laterality Modifier Mix-Ups in 5 Simple Steps - AAPC
    For example, adding a laterality modifier to 30801 (Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method … superficial) would not only be unnecessary, it would also be incorrect, as the descriptor specifies the code applies to an ablation on one or both sides of the nasal cavity
  • Minimize Laterality Modifier Snafus in 5 Simple Steps - AAPC
    Payer guidance regarding these laterality modifiers is all over the map, so we went to industry pros to set the record straight Follow these five steps to refine your modifier 50, LT, and RT application skills, and take note of some key pointers from payers regarding which modifiers they want to see on your claims
  • Refresh Your Knowledge of G0268, 69200 Coding Guidelines - AAPC
    The only reason you should override this modifier is by adding a laterality modifier to indicate the cerumen removal was performed on the contralateral ear There are other instances in which a coder may struggle in discerning between whether a procedure qualifies as 69200, 69209 69210, or a separate code
  • Wiki - Using other Clinician Documentation for more specified . . . - AAPC
    I think laterality may have been highlighted specifically because that was a recent addition to the guidelines and so it was emphasized - it's also distinct from the other items on the list because it does involve the assignment of a diagnosis whereas the other information that can be drawn from clinician documentation is more supplemental
  • Modifier Sequencing | Medical Billing and Coding Forum - AAPC
    I haven't used FY before, but it appears to be similar to TC from what I can see so it affects pricing so I'd list that first XS is similar to the usage of 59; it unbundles codes I'd list that second and then list the laterality last
  • Wiki - modifier with 32555 (thoracentesis)??? - AAPC
    I don't recall that I've ever used laterality modifiers on thoracentesis and, since they're informational, I wouldn't expect a denial I'd expect the payer to ignore it if I submitted and they don't need it
  • Know CMS Bundling, Modifier Policies for 69210 : You Be the Coder - AAPC
    Additionally, you should not submit 69210 as more than one unit The service should be billed the same whether the physician performs the cerumen removal unilaterally or bilaterally You’ll also want to make sure you are using H61 2X (Impacted cerumen) diagnosis codes accordingly depending on the laterality or bilaterally of the impacted cerumen
  • Left, Right, or Bilateral? - AAPC Knowledge Center
    In medicine—and equally so in medical coding—location matters As such, physician coders must be adept when applying the three modifiers most commonly used to identify more precisely the locations at which a procedure occur: Modifiers 50 Bilateral procedure, LT Left side, and RT Right side Mirror Image Procedures on a Single Structure Call for 50 A bilateral procedure occurs on both sides
  • Wiki - 20600, 20605, 20610 with Lt Rt modifier - AAPC
    We just went through an audit and was told we need to apply a left or right modifier on joint injection codes 20600, 20605 and 20610 We were told CMS is "wanting" this Does anyone else do this and if so do you have supporting documentation from CMS? (We already use a 50 when appropriate ) If





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