• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

Bilateral Xray Profee - MITS billing, OH Caid


Canfield, OH
Best answers
Here is an example: patient has "radiologic examination, knee; 1 or 2 views" on both knees, we bill 73560-26 - the catch is that it's Ohio Medicaid, now using MITS online; Although they now accept RT & LT modifiers, they won't accept this on radiology codes, they also will not accept 50 modifier; if you bill 2 separate units, one denies as a duplicate, then I "attach" the medical record in MITS & send it and it still denies; I've tried billing 2 units on one line; I've tried to verify correct billing in every publication I can find, but I cannot find this exact issue


Best answers
I have seen this before with a different payer - have you tried 73560-26 and 73560-26-76? Maine Medicaid also requires the use of 51 on some procedures indicating that it is multiple procedures -- this was the first that I had ever experienced this and I have worked for quite a few state medicaid programs!