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Wiki medicare with bi-lateral hernia

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cynthiabrown

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we have always billed bi-lateral with rt and lt and now medicare ( illinois) will not pay......anyone else running into problems
 
according to what I am finding you need to use the 50 modifier for bilateral on hernia repairs. Medicare does not accept the Rt/LT modifiers on the 49505.

HTH! :)
 
i sent 49650-rt 49650-lt and denial was for medicallu unlikelt edit. more than unit of service allowable for this procedure code
 
in checking my coding software edits Medicare does not accept the Rt/LT on this code and the MUE is 1. I would suggest using 49650-50 with 1 unit.

HTH!
 
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