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Thread: shoulder x-ray bilateral what modifer

  1. #1

    Default shoulder x-ray bilateral what modifer

    AAPC: Back to School
    question when you bill for an x-ray and there is no bilateral code
    do you use the single to two view with a LT, RT modifer?
    or 50, 59, 51

    need help

  2. #2
    Join Date
    Apr 2007
    Seattle First Hill


    We always bill bilateral shoulder x-rays with a -RT and -LT, no other modifiers.

  3. #3
    Join Date
    Apr 2007
    Columbia, MO


    It really depends on which payer, Medicare typically is the code plus the 50 modifier, most commercials it is two lines one with the LT and one with the RT.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Join Date
    Apr 2007
    Columbus GA


    I agree with Debra except in GA we cannot use mods on any Medicaid charges

  5. #5
    Join Date
    Apr 2007


    For all bilaterial procedures we use RT and LT

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