Neurosurgery Coding Alert

Question: We have been facing challenges for reporting bilateral procedures like injection codes 64483 (Injection[s], anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance [fluoroscopy or CT]; lumbar or sacral, single level) and 27096 (Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance [fluoroscopy or CT] including arthrography when performed). Is it better to report LT and RT modifiers or append modifier 50 (Bilateral Procedure)? Illinois Subscriber Answer: You can submit your bilateral procedures claims with one of the following: Report procedure code on one line, write two in the units field, and use LT and RT modifiers Report procedure code on two lines, write one in the units field, and use LT modifier in one line and RT modifier in another Report procedure code on one line, write one in the units field, and report modifier 50 Make sure that the procedure that you are reporting meets the definition [...]