Different Procedures / Different Ears

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Question:  

We did bilateral myringotomy and tubes with removal of left myringotomy with paper patch graft. I know the two codes, 69436 and 69610, can’t be billed together. But can I bill 69436-RT with 69610-LT?

Answer:

Absolutely! We suggest you also include modifier 59 (distinct procedural service) on 69610 as many payors do not recognize the RT (right) and LT (left) modifiers. CPT 69610 has the higher value so it will be reported first (69610-LT and 69436-59, RT).