FIRST COAST SERVICE OPTIONS
LOCAL COVERAGE DETERMINATION
CODING GUIDELINES

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Contractor’s Determination Number

27130

LCD Database ID Number

L32081

Contractor Name

First Coast Service Options, Inc.

Contractor Number

09102 – Florida
09202 – Puerto Rico
09302 – Virgin Islands

LCD Title

Major Joint Replacement (Hip and Knee)

Coding Guidelines

Bilateral knee or hip replacement surgery during the same encounter is subject to bilateral pricing. Generally there are two surgeons acting as co-surgeons, with each one operating on a distinct knee or hip. Modifiers -50 (bilateral procedure) and -62 (co-surgeon) should be appended to the appropriate CPT procedure code.

RT and LT modifiers should be used as appropriate

Comments

N/A

Revision History

Date	Revision
10/16/2011	Original

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Document formatted: 05/17/2011 (SS/et)