Problems with deciding whether a modifer 50 should be used or right and left

rmalashuk

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I have noticed that different insurance companies are requiring right and left when performing bilateral procedures vs the 50 modifier (bilateral procedure). Does anyone have documentation on what Tricare demands? I cannot get an answer from them. Would appreciate any help you can give me. Thank you.
 

jimuthr

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Tricare follows the same guidelines as CMS, so, bilateral procedures should be coded with the -50 modifier. Hope this helps.
 
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