Health Information Management

Tip: Note changes to bilateral status for CPT codes

APCs Insider, June 8, 2012

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CMS removed CPT code 36000 (introduction of needle or intracatheter, vein) from the conditionally bilateral list. In addition, CMS removed the following two codes from the inherently bilateral list and added them to the conditionally bilateral list:

  • 64613: Chemodenervation of muscle(s); muscle(s) innervated by facial nerve
  • 64614: Chemodenervation of muscle(s); cervical ­spinal muscle(s)
When a provider performs a conditionally bilateral service bilaterally, coders must append modifier -50 ­(bilateral procedure) to the code.
The tip is adapted from “Note changes for skin substitutes, mental health codes” in the June Briefings on APCs.

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