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Injections/ J-Codes

blake94

Guest
Messages
2
Best answers
0
Are Modifiers -RT and -LT required on all J-Codes? We are getting many rejections for this regarding especially SYNVISC. I thought that the modifier -rt or lt was stated in the procedure only....
 

donsqueen

Guest
Messages
113
Best answers
0
LT or RT should go on the procedure only. I looked up the synvisc code in encoderpro and there are no modifiers approved for this code. If you have a particular carrier that is rejecting these for not having modifiers on them, I would take it up with that carrier individually as some have their own requirments.
 

dede470

Contributor
Messages
11
Location
Nassau Central New York
Best answers
0
The Rt/Lt modifiers must also be put on the drug codes. If you are billing synvisic,supartz,orthovsic not only do the RT/LT modifiers must be applied but an EJ modifer as well if this is the 2nd,3rd,4th etc... injection. This is policy in New York (downstate). You can find information on the insurance carriers website that you are billing for under their policies.
dede
 
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