Some insurers will specify when they prefer modifier 50 and when they require modifiers LT/RT. When dealing with non-Medicare payers, you should ask your insurers how they want you to report bilateral procedures - whether to use modifiers 50, LT/RT (Left/Right side), or both together. Modifier help: You can append modifier 50 to 54620 to indicate that this procedure can be performed bilaterally even though the CPT code description for 54620 seems to contradict this. The patient does not need to be experiencing symptoms at the time of surgery. Kansas Subscriber Answer: You should report 54620-50 (Fixation of contralateral testis bilateral procedure) for the bilateral trans-scrotal orchiopexy for recurrent torsion. CPT 54620 works, but applies to one side, not both. The descriptor for CPT 54600 makes me think the testis needs to currently be in torsion. Question: What is the correct code(s) to use for bilateral testicular fixation for intermittent testicular torsion? At the time of the surgery, the patient was symptom-free. The descriptor for CPT 54600 makes me think the testis needs to currently be in torsion. When manual detorsion is successful, bilateral testicular fixation is done electively.

Fixation of the contralateral testis is also done to prevent torsion on that side. Testicular salvage drops rapidly from 80 to 100% at 6 to 8 h to near zero at 12 h. 2016 2017 2018 Billable/Specific Code Male Dx. Applicable To Crosswalk Code Also Crosswalk Code First Crosswalk Includes Crosswalk Note Crosswalk. Female Only Procedure Codes Male Only Procedure Codes Analytics.

Cpt code for testicular torsion