Wiki Coding Question, Please help

[foreveryoung]

Can I code for a synvisc injection in the right knee and a synvisc injection in the left knee on the same day for the same patient and put a lt and rt as the modifier with the cpt code for a medicare patient and his secondary is tricare for life? Please help. Will I get reimbursed for the full allowable on both knees?
teresay@atmc.net.
foreveryoung

 

[astephens]

you can bill with rt and lt but as far as i have seen medicare goes by 100/50/50 rule

 

[BONDO350]

the 100/50/50 rule applies to the injection code only. the j code will not be reduced

for mcr bill 20610 50
J7325 with 32 units

for bc/bs bill 20610 11
20610 12
J7325 32