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95934 - h reflex study done on both sides. Modifier 50?

  1. #1
    Default 95934 - h reflex study done on both sides. Modifier 50?
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    I have a H-Reflex study done on both sides of the body for a Medicare patient. I had entered it as 95934 x2 and it was denied. Does Medicare allow the 50 modifier on this code? Thanks!
    Marci A. Giardina, CPC

  2. #2
    Location
    North Carolina
    Posts
    3,126
    Default
    Yes...

    Bilateral Surgery (50) 1 = 150% payment adjustment for bilateral procedures applies.

  3. Talking brendam
    I am still getting denials from MCR when posted on 2 lines with -50 on second line of 95934????

  4. #4
    Location
    Denver Colorado
    Posts
    279
    Default
    For Medicare, bill it as a single line item with modifier 50 appended and 1 unit of service; make sure your billed amount is above the 150% of the allowable for a single unilateral diagnostic study

  5. Smile
    Thank you so much.

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