Wiki 19342

[vxhilaj]

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 patients so i'm not very familiar with the way they pay.

 

[apagano1]

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 patients so i'm not very familiar with the way they pay.

For commercial insurance, even with bcbs, we have been getting paid:
19342 lt
19342 rt

Mcr stays as 19342 50 1 unit and double the fee.