Wiki CMS Billing Carpal Tunnel Injections

[MML05]

Does anyone have any suggestions on how to bill BILATERAL CTS injections for CMS to have them pay for it? They are denying 20526 (50) modifier and/or otherwise 20526 RT- and LT;59

 

[prayercoder]

Carpal Tunnel

Are you reporting the RT and LT on separate lines? Don't put them on the same line. I don't think Medicare wants the 59 modifier unless it is being used to override and NCCI edit. Not 100% sure.

 

[mblubaugh]

Interesting, I just had our Medicare follow up gal tell me that her claim denied using RT LT and I had to change it to 20526-50.