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Thread: Multiple modifiers 59, rt, lt

  1. #1

    Default Multiple modifiers 59, rt, lt

    AAPC: Back to School
    We recently billed:
    J7325-RT 48 units
    J7325-LT 48 units
    The carrier only paid the 20610 codes.
    The carrier denial says invalid modifier. I think that the Rt and LT should not be used for a J-code, but I don't know how to properly bill this Synvisc.

  2. #2


    I don't submit with RT/LT w J codes.

  3. #3


    We don't use RT/LT modifiers on J-codes either.


  4. #4
    Join Date
    Apr 2007
    Sioux Falls South Dakota


    You also would not need the modifier 59 on your J codes, just bill the units on the medications.
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

  5. #5
    Join Date
    Apr 2007
    Greeley, Colorado


    For Medicare, Blue's, UHC we bill bilateral synvisc injections:
    20610-50x1 at 150% of the fee
    J7325 x96
    All others:
    J7325 x96

    No problems whatsoever.
    Lisa Bledsoe, CPC, CPMA

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