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Thread: -50 on 36468

  1. #1
    Join Date
    Apr 2007

    Default -50 on 36468

    AAPC: Back to School
    Is modifier -50 appropriate for 36468 (spider vein injection)? Does anyone have any experience with payers on this?


    Kay, CPC

  2. #2
    Join Date
    Apr 2007
    Rome, GA


    According to the Medicare Physician Fee Data Base "150% payment adjustment for bilateral procedures does not apply. " Usually this is denied as cosmetic. If the documentation supports medically necessity, then we appeal.
    Peggy Y, Green, CPC, CPMA, CPC-I, CRC
    "To love what you do and feel that it matters - how could anything be more fun?" Katharine Graham

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