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bilateral billing

  1. S

    Wiki Pain Management Billing

    We are billing for a bilateral lumbar RFA for 3 levels and are having trouble getting the add on code to pay. It is 64635 Mod 50 and then since the add on code can no longer be coded with a mod 50 we have done 64636 with 4 separate line items (with no modifier) and it has denied. The 2021 CPT...
  2. R

    Wiki BILATERAL X-RAY

    AZ Complete Health (Medicaid) recouped multiple claims we have billed as follows: 99203 (M17.12) - PAID 73562-LT (M25.562) - RECOUPED/DENIED 73562-RT(M25.561) - RECOUPED/DENIED We also have other claims that we billed different x-ray codes for bilateral areas with -LT and -RT that have...
    • raenayg
    • Thread
    • ahcccs bilateral billing orthopaedic xray
    • Replies: 3
    • Forum: Orthopaedics
  3. V

    Wiki 19342

    Aetna breast cancer patient had delayed reconstruction so the doctor inserted bilateral implants. I coded 19342 with modifier 50 and aetna only paid for one side, do i need to bill with rt and lt modifiers to receive proper reimbursement? Bcbs pays with modifier 50. We don't have many aetna...
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