ChrissyMiodrag
Contributor
When you append the 50 modifier for bilateral service, double the charge, DO you also bill out at 2 units?
Thank you
Chrissy
Thank you
Chrissy
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Wiki 50 modifier and number of units
- Thread starter ChrissyMiodrag
- Start date
RebeccaWoodward*
True Blue
I only have one carrier that requires 2 units. All other carriers require 1 unit.
ciphermed
Guru
Although I do not have a reference; i would report the procedure with the modifier -50, the appropriate price (reflecting B/L proc) and one unit. Reporting the procedure with the -50 at 2 units would indicate that you performed the bilateral procedure twice.
Hope this helps
Hope this helps
RebeccaWoodward*
True Blue
Excerpt from BCBSNC's administrative website.......
"Modifier -50 should be used for bilateral procedures. Bilateral procedures should be listed on the claim as a single line item, with modifier -50, and a two in the units field."
This could become carrier specific but again...this in my only carrier, in my region, that has this requirement.
"Modifier -50 should be used for bilateral procedures. Bilateral procedures should be listed on the claim as a single line item, with modifier -50, and a two in the units field."
This could become carrier specific but again...this in my only carrier, in my region, that has this requirement.
mbort
True Blue
this is definitely carrier driven. I have carriers that want them on separate lines with rt/lt rather than the 50 modifier.