For a bilateral complete adrenalectomy, which code is reported with modifier?

In the case of a bilateral complete adrenalectomy, the correct code to report is 60540, which denotes a bilateral adrenalectomy procedure. The addition of the modifier 50 indicates that the procedure was performed bilaterally. This modifier is crucial in coding as it communicates that both sides were involved in the surgical intervention, ensuring proper billing to reflect that two sites were operated on during the same session.

The coding is specific to the type of procedure performed, and in this instance, 60540 is designated for adrenalectomy, while the other codes listed correspond to different types of adrenal surgeries or entirely different anatomical focus. The choice of the correct code with the appropriate modifier helps in accurate representation of the surgical complexity and ensures optimal reimbursement from insurance providers.