Wiki -50 on 36468

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KLRuhe

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Rapid City, SD
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Is modifier -50 appropriate for 36468 (spider vein injection)? Does anyone have any experience with payers on this?

Thanks.

Kay, CPC
 
According to the Medicare Physician Fee Data Base "150% payment adjustment for bilateral procedures does not apply. " Usually this is denied as cosmetic. If the documentation supports medically necessity, then we appeal.
 
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