lhardin0621
Contributor
confused:
One of our docs billed for a Thoracentesis CPT code 32422. It was done bilaterally, but there are two separate op notes for the left side and the right side. Both procedures were performed on the same day. Medicare denied the claim saying that the service payment already made for same/similar procedure within the same frame.
Here are my questions:
1. If a procedure is done bilaterally, are the providers allowed to have two separate notes?
2. Should we have appended a modifier 50 to the procedure code?
Please help
One of our docs billed for a Thoracentesis CPT code 32422. It was done bilaterally, but there are two separate op notes for the left side and the right side. Both procedures were performed on the same day. Medicare denied the claim saying that the service payment already made for same/similar procedure within the same frame.
Here are my questions:
1. If a procedure is done bilaterally, are the providers allowed to have two separate notes?
2. Should we have appended a modifier 50 to the procedure code?
Please help