When surgical procedures are performed on body parts that are bilateral (identical parts on each side of the body), HMSA prefers that you code the claim for the surgery using the appropriate site-specific modifier.
Site-specific modifiers are Medicare Level II modifiers and can be found in the HCPCS code book or inside the front cover of the CPT manual. They are listed below for your convenience.
Note: When using site-specific modifiers, do not use modifier codes 50 or 51.
General
| Modifier | Description |
|---|---|
| LT | Left side |
| RT | Right side |
Eye
| Modifier | Description |
|---|---|
| E1 | Upper left eyelid |
| E2 | Lower left eyelid |
| E3 | Upper right eyelid |
| E4 | Lower right eyelid |
Revision History
| Date | Nature of Revision |
|---|---|
| 08/03/2026 | Migrated to new platform. |