DeannaAnderson
New
We're having some internal discussion here where I work. I currently use the CPT Expert edition which as many of you know gives you the modifier icons that indicate when a code is billable with a modifier - 50.
The internal discussion has come up about the following codes as some examples where a provider is doing the service bilaterally and based on the code description it could be truely done bilaterally. CPT does not show that the code is billable using modifier - 50 nor does the Federal Files that we use as well.
My thought is that the following codes should NOT be billed using Modifier -50 but should instead be billed using multiple units or modifiers for LT and RT.
Here are the code examples that we've been discussing.
21031
11970
42440
Thanks for any input you can give us.
The internal discussion has come up about the following codes as some examples where a provider is doing the service bilaterally and based on the code description it could be truely done bilaterally. CPT does not show that the code is billable using modifier - 50 nor does the Federal Files that we use as well.
My thought is that the following codes should NOT be billed using Modifier -50 but should instead be billed using multiple units or modifiers for LT and RT.
Here are the code examples that we've been discussing.
21031
11970
42440
Thanks for any input you can give us.