Wiki 47 modifier

mceisele

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Has anyone had problems with using the 47 modifier on hernia repairs? I heard that at least one insurance company (non-Medicare) reduces payment for using the 47 modifier. So billing a LIH with field block as 49505-47-LT, 64425-LT, 64447-LT and 64450 (ileoinguinal, femoral and pubic tubercle) would result in a lower reimbursement than 49505-LT, 64425-LT, 64447-LT and 64450. Could this be correct?
Thank you for sharing any insight on this.
Celeste
 
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