What does Modifier 50 indicate in CPT coding?

Modifier 50 is used in CPT coding to indicate that a procedure has been performed bilaterally, meaning on both sides of the body. This modifier is applied to certain surgical codes that are performed on paired organs or structures, such as knees, ears, or breasts. By including Modifier 50, healthcare providers communicate to insurers that the same procedure was conducted on both sides, often resulting in specific reimbursement considerations.

For instance, when a surgeon performs a procedure on both knees, they will append Modifier 50 to the code for that specific procedure to signify the bilateral nature of the surgical intervention, which is essential for proper claims processing and to ensure accurate compensation for the services provided.