We have a pt that have GA Medicaid. Pt came in on 07/26/2016 and we performed 36478 RT. Pt came in again on 07/28/2016 for another procedure and will billed 36478 LT. Per Mcaid they denied our claim for 07/28/2016 due to frequency issues. We explained that the services were performed on different legs per procedure but they stated the claim was still denied and could not be appealed further. I do not agree with the determination. Does anyone have any input on this matter or a suggestion on what we can do?