bilateral xray billing

solocoder

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Marshfield, MO
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Trying this in another forum. Any takers?

We've always billed bilateral foot xrays to Humana with a 50 modifier, but just in the last month they have started denying them saying: The procedure code is inconsistent with the modifier used or a required modifier is missing.

Does anyone know if they have decided they want them separated into RT and LT? I can't keep up with all the different ways payers want bilateral procedures billed. Grrrrr.
 

pogiest

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Jacksonville Florida Chapter
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I know this post is two months old, but in case anyone else comes across this...

Medicare is the only payer I can get to accept modifier 50 for bilateral x-rays of any kind. I've been having to break the bilateral x-rays of everything else into left and right side (with the obvious except of the hip since there is one code for a bilateral hip x-ray).
 
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