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Hello, can any experts help clarify what is correct reimbursement for this situation? We are billing bilateral pain management injections and the insurance is paying the + on levels @ 200% of the single rate instead of the 150% we thought to be correct. Please see below example:
CPT 64490 50 mod- they are reimbursing @ 150% of the single rate;
CPT 64491 50 mod- they are reimbursing @ 200% of the single rate;
CPT 64492 50 mod- they are reimbursing @ 200% of the single rate;
Is there a CMS guideline/policy be provided to me to advise if these add on codes billed bilaterally should be reimbursing @ 150% or 200%?
CPT 64490 50 mod- they are reimbursing @ 150% of the single rate;
CPT 64491 50 mod- they are reimbursing @ 200% of the single rate;
CPT 64492 50 mod- they are reimbursing @ 200% of the single rate;
Is there a CMS guideline/policy be provided to me to advise if these add on codes billed bilaterally should be reimbursing @ 150% or 200%?