Results 1 to 8 of 8

bilateral x-ray for Medicare

  1. Default bilateral x-ray for Medicare
    Medical Coding Books

    Does anyone know the proper way to code bilateral x-ray codes. Example, 73560 (Knee) Do I list seperate and indicate rt knee and lft knee or so I use a modifier-50 or a -76? I am in Nebraska.

  2. #2
    I don't have a CPT book handy, so I don't know the code desciption, but that will affect how you bill. But, for unilateral procedures done bilaterally, you would either bill one line with the 50 or two lines with RT & LT. You should check the physician fee schedule look-up on the CMS website to be sure the 50 is valid with the code before billing. I would also suggest checking with your carrier. Different carriers have different preferences.
    Amy Crego, CPC, CPC-P, CPMA, CRC
    Vice President, Columbus, OH AAPC

    One can never consent to creep when one feels an impulse to soar. ~ Helen Keller

  3. #3
    Based on my experience dealing with PA & NJ Medicare, it's best to use 2 separate lines with RT & LT modifiers.


  4. #4
    I agree with Amy. Medicare wants two separate lines with RT/LT modifiers.

  5. #5
    St. Louis, Missouri
    I agree. I am in Missouri and Medicare does not like the 50 modifier. They want 2 seperate lines with RT and LT.

    Melissa Blow, CPC

  6. #6
    Greeley, Colorado
    I am in Colorado...rt/lt are most appropriate for bilateral radiology coding.

  7. Smile Bi-lateral knee xrays & mod 50
    Quote Originally Posted by mmelcam View Post
    I agree. I am in Missouri and Medicare does not like the 50 modifier. They want 2 seperate lines with RT and LT.
    Where can I find this information on the Medicare website that shows they do not want a mod 50 on bilateral knee xrays?

    Thank you,


  8. Default

    I agree with the above. We bill out Rt & Lt modifiers with our xrays here in Kansas.
    Ryan Raich, CPC COSC

Similar Threads

  1. Bilateral X-ray billing
    By laurijean in forum ICD-10
    Replies: 3
    Last Post: 11-10-2015, 10:46 AM
  2. Bilateral Knees X-ray Question
    By christine_cornforth in forum Orthopaedics
    Replies: 2
    Last Post: 04-20-2015, 12:53 PM
  3. shoulder x-ray bilateral what modifer
    By staylor64 in forum Interventional Radiology
    Replies: 4
    Last Post: 10-07-2009, 11:06 AM
  4. Comparison/bilateral x-ray
    By kenzie44 in forum Diagnosis Coding
    Replies: 0
    Last Post: 03-18-2009, 05:51 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.