I thought this pretty much depended on what the payor wants??? I looked in Appendix A of the CPT manual and it doesn't stipulate that this modifier is only for surgeries. On bilateral xrays, we bill the code on two lines and use RT/LT modifiers. Some payors want us to bill everything on one line and put modifier 50 for certain procedures. For example, VA Medicaid wants bilateral codes billed on one line with two units and no RT/LT modifier so for them, that's how we bill it.
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