Wiki Modifier Help with 64405

[Babsss]

:rolleyes Guidelines for CPT Code 64405 bilateral. I need advise on how to code for Medicare vs Commerical
I have seen 64405 RT and 64405 LT, 64405 50, and 64405 RT with 64405 LT 51,
Please help. Where can I find rules for these. I have googled with no true luck.

 

[jschmutz]

Depends on the carrier.

 

[marvelh]

Medicare requires use of modifier 50 with a single unit of service & 1 line item for bilateral services.

As indicated in the other post, it depends with other payers. Often directions for billing for bilateral services are included in the payer provider manual.