Wiki Modifier 50 - Is it appropriate to use the modifier

[Andrschery]

Is it appropriate to use the modifier 50 on the facility side when combo coding? Ex. 30903.50 coded on pro-fee side. coded 30903.LT; 30903.RT on the facility side, and insurance denied for MUE line item edit.

 

[Rudolph.Dmello]

Modifier 50 for Facility

Hi Andrschery,

I feel modifier 50 should better suite this scenario as same procedure is performed on both paired body parts.

Modifier LT and RT would be correct if a procedure is performed on one side of the body and is a paired organ or when the procedures performed are similar but not identical and are both performed on paired body parts.

Thanks,
Rudolph

 

[mitchellde]

Is it appropriate to use the modifier 50 on the facility side when combo coding? Ex. 30903.50 coded on pro-fee side. coded 30903.LT; 30903.RT on the facility side, and insurance denied for MUE line item edit.

Yes modifier 50 is acceptable to be used by the facility.