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69436-50 or 69436 lt & 69436 rt

C

codedog

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Location
Marrero, LA
I have been using 69436 with a modifer 50 when our ASC does these procedures. Most of these are medicaid patients. Someone told me I should be using 69436 Lt and 69436 RT instead, is this so?
 
Last edited:
I think that is a carrier-specific issue, either way is correct from a coding stand point. Contact your local Medicaid carrier to determine how they want you to submit for correct payment.

Jerri, CPC
 
I agree with Jerri it is carrier specific. I'm in FL our Medicaid carrier will only accept modifiers 50, 73 and 74 for an ASC.

Charla, CPC, CASCC
 
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