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Wiki Bilateral Procedures for ASC

SydneyO

Networker
Messages
39
Location
Mukilteo, WA
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0
Can someone please clarify how to bill bilateral procedures for ASC (Ambulatory Surgery Center)? I've heard that it varies between payers, but I just someone just told me that Medicare will not accept modifier -50 for ASC and that we have to bill -LT/-RT on separate line items. Is this correct? And is this usually the case for other payers???

Thank you for your help
 
You are correct,
Bill with RT &LT modifier in two separate line items for MCR

For other payers , generally bill with modifier 50 in a single line item , but this varies based on payers and state policiles , in the absence of any specs , bill with modifier 50 in a single line item
 
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