bilateral x-ray for Medicare

carider1128

Guest
Messages
1
Best answers
0
Hi,

Does anyone know the proper way to code bilateral x-ray codes. Example, 73560 (Knee) Do I list seperate and indicate rt knee and lft knee or so I use a modifier-50 or a -76? I am in Nebraska.:confused:
 

CoderChick24

Networker
Messages
61
Location
Columbus, OH
Best answers
0
I don't have a CPT book handy, so I don't know the code desciption, but that will affect how you bill. But, for unilateral procedures done bilaterally, you would either bill one line with the 50 or two lines with RT & LT. You should check the physician fee schedule look-up on the CMS website to be sure the 50 is valid with the code before billing. I would also suggest checking with your carrier. Different carriers have different preferences.
 

tracross

Contributor
Messages
11
Best answers
0
Based on my experience dealing with PA & NJ Medicare, it's best to use 2 separate lines with RT & LT modifiers.

Tracy
 
Messages
4
Best answers
0
Bi-lateral knee xrays & mod 50

I agree. I am in Missouri and Medicare does not like the 50 modifier. They want 2 seperate lines with RT and LT.
Where can I find this information on the Medicare website that shows they do not want a mod 50 on bilateral knee xrays?

Thank you,

Michele
 
Top