Bilateral billing/Lap Hernia49650 HELP!!

SS62

Networker
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North Wales, PA
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Hi

Can I bill two lines RT/LT for Lap Hernia 49650? I was always under the impression if it was done lap it could not be billed rt/lt? This is an issue currently being audited....Thanks, Susan
 

dmaec

True Blue
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Hibbing, Minnesota
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per CCI Edits - status indicator "1" in the Bilateral surgery rules column means:
Bilateral surgery rules apply (150%). Use .50 modifier if bilateral. Units =1

sorry, didn't mean CCI Edits -status indicator - meant to say RVU schedule, status indicator -
 
Last edited:

mbort

True Blue
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ENGLEWOOD/DENVER
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per CCI Edits - status indicator "1" in the Bilateral surgery rules column means:
Bilateral surgery rules apply (150%). Use .50 modifier if bilateral. Units =1
This is an ASC (or at least the ASC forum) where different guidelines apply.
 
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