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64405 as a bilateral

K

kimmerham

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Gwinn, MI
Can anyone help me with this....the Dr. performed a bilateral occipital nerve block and I am not sure what modifiers to use. The payer is Medicare. Do I use 64405 twice and use modifiers LT and RT? Do I use 64405 once and use a 50 modifier? Does Medicare pay for bilateral? :confused:
 
kimmerham said:
Can anyone help me with this....the Dr. performed a bilateral occipital nerve block and I am not sure what modifiers to use. The payer is Medicare. Do I use 64405 twice and use modifiers LT and RT? Do I use 64405 once and use a 50 modifier? Does Medicare pay for bilateral? :confused:
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Medicare rules say bilateral is allowed so you would use the 50 modifier.
 
Our doctor provides this service and we bill out on one line as Arlene stated above, 64405-50 for our Palmetto GBA MCR patients.
---Suzanne E. Byrum CPC
 
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