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Wiki 64600 - Bilateral

Thread starter lcole7465
Start date Jun 28, 2019

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lcole7465

Expert

Jun 28, 2019

I have a claim the provider performed a bilateral supraorbital RFA at the branch of the trigeminal nerve and the insurance (Anthem) denied with modifier -50. According to Encoder this code does is not billable with modifier -50 or RT/LT. From diagrams I'm seeing, it appears that there is a right and left side of the nerve.

Any insight on how this should be billed would be greatly appreciated.

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