Wiki Modifier 50 & RT/LT

[tajna.chagorski@taskforcebpo.com]

92235, 92240, 92242

I need more explanation for this CPT codes, do we have to use mod.50, RT/LT?

Ex. ( 92235, Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral.

For dates of service prior to 2017, the code was defined as unilateral; now, it is billed once whether one or both eyes are tested. )
Thank You

 

[ravindrathod555@gmail.com]

Modifier 50, RT,LT.

We can not use Modifier 50, RT,LT at same time. Modifier 50 described as bilateral (Both Side).If suppose in case right side is there then use only RT Modifier, no need to use modifier 50 with RT or LT.

 

[tajna.chagorski@taskforcebpo.com]

My question is: Do we have to use mod RT/LT OR 50 because the description of the code says:"it is billed once whether one or both eyes are tested"
(ex. IF the provider states that the procedure is done on the both eye do we use 50 mod?Or nothing? (Because it is billed once whether one or both eyes are tested)
Thanks

 

[cgaston]

The -50 modifier is used when a unilateral code is performed bilaterally, and it will change the reimbursement. Since this code will pay the same no matter how many eyes are tested I wouldn't bother.

 

[CodingKing]

Do not apply mod 50 or anatomical modifiers when its specified in the code that it included unilateral and bilateral.