92504 Binocular Microscopy

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.