Wiki Modifier 50 Vs LT/RT

Bankertj

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We are an ASC and we bill bilateral pain injections using two identical CPT codes with LT/RT modifiers. This is what our third party coding company has done for awhile, and payers have no issues. We recently had a dispute with someone saying we should be coding the CPT code with modifier 50. Does anyone have a source that says LT/RT modifier use instead of 50 is appropriate? We are looking for proof from a reliable source.
 
I don't have "proof" per say as a policy from any source, but I own a billing company and we use RT/LT modifiers all the time with our clients and we have no issues getting our claims processed. Was this debate with a specific insurance carrier, patient or just another staff person?

Heather Jones, CPC, CPB
Absolute Practice Solutions
(ph) 336-422-7824
(f) 877-217-6073
 
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