Bilateral total knee replacement

[madgejones10]

Our surgeon performed bilateral total knee replacements. I billed BCBS with L and R modifiers, but they cut the reimbursement for the second TKR in half. Should I appeal, or is this standard? We have rarely billed bilateral and I can't remember !!

 

[mitchellde]

That is standard. using the 50 modifier would be 150% so the end result is the same.

 

[madgejones10]

Thank you so much, Debra !!!