Wiki 92250/92235 coding to medicare

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Quick question. Does anyone know if Medicare changed the way to code 92250 and 92235 in 2013? I always bill with tc/26 for both procedures. Now I am getting denials. I bill like this.....
92250 TC
92250 26

92235 TC RT
92235 26 RT

92235 TC LT
92235 26 LT

Is this correct?
 
It's my understanding that if you are performing the technical and professional component of a service, you would bill that service once with no modifiers. I would bill:

92250
92235 -RT
92235 -LT

What do your denials say? As far as I know, there are no CCI edits for these codes. Maybe it's an unbundling error.
 
You would not bill bilateral as 2 lines for Mcare it would be
92250
92235 50

Unless this is a RHC then it is a little different.
But I agree it really depends on what the denial states.
 
I agree, the 92250 does not need to have the TC or 26 modifier if you are providing both. I bill this code on a regular basis to Medicare and it is always paid as long as there is a DX supporting the necessity of the test.
The 92235 is in need of the 50 modifier if bilateral or the RT/LT if unilateral
 
92250/92235

I bill the 92235; and the 92250 with modifier 59 and the claims do not get denied.
 
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