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modifier 50
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Wiki Humana Denials: Why Does Humana Request Bilateral Modifier 50 for Non-Bilateral Body Parts?
Hello Everyone. :) Does anyone else have issues with Humana denying injections for non-bilateral body parts (such as a left shoulder and right knee injected on the same visit) because they are requesting the bilateral modifier 50, rather than the correct LT/RT; XS modifiers ? Is there a way to...- KStaten
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- bilateral denials humana injections modifier 50
- Replies: 4
- Forum: Billing/Reimbursement
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Wiki Bilateral Procedures for ASC
Can someone please clarify how to bill bilateral procedures for ASC (Ambulatory Surgery Center)? I've heard that it varies between payers, but I just someone just told me that Medicare will not accept modifier -50 for ASC and that we have to bill -LT/-RT on separate line items. Is this correct...- SydneyO
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- asc bilateral billing modifier 50
- Replies: 1
- Forum: Medical Coding General Discussion
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Wiki billing modifer 50 with 51
I have a question about modifier 50 with 51 being billed together. I know that we do not have to apply 51 to the codes but for our reports we use it for RVU purposes. We apply 51 and the clearing house will take the 51 off. Our charge is already reduced when we apply modifier 50 (150%), but my...- billysun35
- Thread
- modifier 50 modifier 51
- Replies: 4
- Forum: Modifiers