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Thread: bilateral x-ray for Medicare

  1. #1

    Default bilateral x-ray for Medicare

    AAPC: CPC Promo
    Hi,

    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
    Join Date
    Apr 2007
    Location
    Columbus, OH
    Posts
    53

    Default

    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
    Treasurer, Columbus AAPC

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

  3. #3
    Join Date
    Apr 2007
    Posts
    11

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

    Tracy

  4. #4
    Join Date
    Apr 2007
    Location
    Philadelphia
    Posts
    118

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    I agree with Amy. Medicare wants two separate lines with RT/LT modifiers.
    K-CPC

  5. #5
    Join Date
    Apr 2007
    Location
    St. Louis, Missouri
    Posts
    262

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    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
    Join Date
    Apr 2007
    Location
    Greeley, Colorado
    Posts
    2,046

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    I am in Colorado...rt/lt are most appropriate for bilateral radiology coding.

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