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  #1  
Old 12-04-2007, 07:19 AM
carider1128 carider1128 is offline
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Default bilateral x-ray for Medicare

Hi,

Does anyone know the proper way to code bilateral x-ray codes. Example, 73560 (Knee) Do I list seperate and indicate rt knee and lft knee or so I use a modifier-50 or a -76? I am in Nebraska.
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Old 12-04-2007, 04:16 PM
CoderChick24 CoderChick24 is offline
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I don't have a CPT book handy, so I don't know the code desciption, but that will affect how you bill. But, for unilateral procedures done bilaterally, you would either bill one line with the 50 or two lines with RT & LT. You should check the physician fee schedule look-up on the CMS website to be sure the 50 is valid with the code before billing. I would also suggest checking with your carrier. Different carriers have different preferences.
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Old 12-06-2007, 09:19 PM
tracross tracross is offline
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Based on my experience dealing with PA & NJ Medicare, it's best to use 2 separate lines with RT & LT modifiers.

Tracy
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Old 12-07-2007, 05:09 AM
kandigrl79 kandigrl79 is offline
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I agree with Amy. Medicare wants two separate lines with RT/LT modifiers.
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Old 12-07-2007, 06:28 AM
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mmelcam mmelcam is offline
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I agree. I am in Missouri and Medicare does not like the 50 modifier. They want 2 seperate lines with RT and LT.
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Old 12-27-2007, 04:01 PM
Lisa Bledsoe Lisa Bledsoe is offline
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I am in Colorado...rt/lt are most appropriate for bilateral radiology coding.
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