28805

emilyo

New
Messages
2
Location
Opa Locka, FL
Best answers
0
I billed 28805-rt and 28805-lt, it came back denied. Should it have been just one 28805 with a 50 modifier or the way i did should be correct?
 

Orthocoderpgu

True Blue
Local Chapter Officer
Messages
930
Location
Salt Lake City, UT
Best answers
1
Your diagnosis could be the issue here

Some insurance companies like bilateral procedures billed with -RT & -LT like you did. Others prefer -50. You will just have to keep track of them to determine their preference. However, in this case I think the most likely reason for the denial is your diagnosis code. Without knowing the reason behind the denial, there is no way to tell. The first thing that I would do is check to see if you can bill with a more specific diagnosis.
 
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