Wiki Multiple modifiers 59, rt, lt

[camcpc]

We recently billed:
20610-RT
20610-LT
J7325-RT 48 units
J7325-LT 48 units
J1020-59
J1020-59
The carrier only paid the 20610 codes.
The carrier denial says invalid modifier. I think that the Rt and LT should not be used for a J-code, but I don't know how to properly bill this Synvisc.

 

[brassd]

I don't submit with RT/LT w J codes.

 

[Treetoad]

We don't use RT/LT modifiers on J-codes either.

 

[cmcgarry]

You also would not need the modifier 59 on your J codes, just bill the units on the medications.

 

[Lisa Bledsoe]

For Medicare, Blue's, UHC we bill bilateral synvisc injections:
20610-50x1 at 150% of the fee
J7325 x96
All others:
20610
20610-50
J7325 x96

No problems whatsoever.