D
Deleted member 616635
Guest
Hello,
I bill for an ASC and we have been getting denials for laterality modifiers on C1762 and C1763 for some reason. These codes are for wrists and shoulders mainly. From the HCPCS book it states, "Modifiers LT and RT identify procedures which can be performed on paired organs. Used for procedures performed on one side only. Should also be used when the procedures are similar but not identical and are performed on paired body parts." It's almost inferred that the implant is not a procedure and therefore doesn't need a laterality modifier. Does anyone have advice?
I bill for an ASC and we have been getting denials for laterality modifiers on C1762 and C1763 for some reason. These codes are for wrists and shoulders mainly. From the HCPCS book it states, "Modifiers LT and RT identify procedures which can be performed on paired organs. Used for procedures performed on one side only. Should also be used when the procedures are similar but not identical and are performed on paired body parts." It's almost inferred that the implant is not a procedure and therefore doesn't need a laterality modifier. Does anyone have advice?