KHerron
New
Working in a family practice group and we are having trouble getting bilateral knee x-rays paid for GA Medicaid primary. We have billed both 73562,RT and 73562,LT and received a denial on one of them as duplicate. The diagnosis used were M25.561 and M25.562 respectively. We have also sent in a corrected claim using the 50 modifier and it was denied as invalid modifier. Since we have already submitted the corrected claim, we are trying to see how these need to be billed in the future. We are unsure if adding the 59 modifier would have worked in addition to the RT and LT. We do not often have GA Medicaid primary imaging claims so we do not have any other current claims to file, but hoping someone has experience in coding for (GA) Medicaid imaging claims who may be able to help. TIA!