Oklahoma Medicaid/Soonercare

midnight1995

Networker
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New to Vision - if anyone has any information on billing and modifiers for Oklahoma Medicaid/SoonerCare when billing CPT codes V2100-V2499, receiving rejections for modifiers LT/RT are invalid or should use modifier 50 . Does the insurance require a modifier per lens.

Thank you
 

Cheezum51

Expert
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432
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Not sure about specifics of your carrier. However, most carriers want each lens billed on its own individual line with the RT or LT modifier and "1" unit of service per line.

Tom Cheezum, OD, CPC, COPC
 
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