92504 Binocular Microscopy

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December 14, 2017

Question:
I used the microscope to examine both ears during an office visit because the middle ear Otoscopic exam was abnormal.  Can I report 92504 with modifier 50 (bilateral procedures)?

Answer:
No.  CPT 92504 describes using a microscope for an examination – it represents payment for using a separate piece of equipment for your exam.  The code is not reported twice, nor is modifier 50 appended, when both ears are examined.  

*This response is based on the best information available as of 12/14/17.

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