• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Urgent !!!!!!!!!!!!!!!!!!!!!!!! Please help!!!!!!!!!!!

Create Wiki
N

NishaJ

Guru
Messages
118
Location
Aravenu, Tamil Nadu
Best answers
0
Hi.....

Medicaid denied LT \RT and 5O Modifier with radiological procedure for Missouri state .I have a doubt , whether we can use 59 modifier or XS modifier in place of 50 or RT\LT...

Any one make me clear on this. please .....

Thanks....
 
I would recommend looking up if they have a specific payer policy for the CPT codes you are billing. If you are unsuccessful in finding one contact the payer directly.
 
Hi stephanie..
Thanks for your immediate reply...

I have checked in Radiological bulletin in Medicaid MO website. But I could not find any points regarding this XS modifier usage..

I got one point in below medicaid website

https://www.medicaid.gov/medicaid-c...echnical-guidance-on-state-implementation.pdf

For radiologic procedures, other non-surgical diagnostic procedures, and durable medical
equipment that can be performed or used bilaterally, the MUE value is generally set as “2” to
permit the billing of bilateral procedures / items on a single claim line with two UOS

I have a doubt, whether we can try with 2 units on single line item...
 
Last edited:
You must log in or register to reply here.
Top