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69436-50 or 69436 lt & 69436 rt

  1. #1
    Default 69436-50 or 69436 lt & 69436 rt
    Clearnace Sale
    I have been using 69436 with a modifer 50 when our ASC does these procedures. Most of these are medicaid patients. Someone told me I should be using 69436 Lt and 69436 RT instead, is this so?
    Last edited by codedog; 12-21-2009 at 10:36 AM.

  2. #2
    Tuscaloosa, AL
    I think that is a carrier-specific issue, either way is correct from a coding stand point. Contact your local Medicaid carrier to determine how they want you to submit for correct payment.

    Jerri, CPC

  3. #3
    I use 69436-50 for medicaid and I get pay with no problem

  4. #4
    I agree with Jerri it is carrier specific. I'm in FL our Medicaid carrier will only accept modifiers 50, 73 and 74 for an ASC.

    Charla, CPC, CASCC

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