Results 1 to 5 of 5

Multiple modifiers 59, rt, lt

  1. Default Multiple modifiers 59, rt, lt
    Medical Coding Books
    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. Default
    I don't submit with RT/LT w J codes.

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


  4. #4
    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
    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

Similar Threads

  1. Wiki multiple modifiers
    By dlk in forum Modifiers
    Replies: 23
    Last Post: 09-27-2016, 02:41 PM
  2. Modifiers with multiple specimens with multiple IHC stains
    By ColqPath in forum Pathology & Clinical Laboratory
    Replies: 10
    Last Post: 05-09-2014, 02:43 PM
  3. Multiple Modifiers - We are having
    By in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 11-05-2013, 08:34 AM
  4. Multiple Modifiers - Hello Everyone!
    By Ramona03 in forum Modifiers
    Replies: 2
    Last Post: 07-11-2012, 11:41 AM
  5. Multiple Modifiers - I thought you were suppose
    By rbbrigman in forum Dermatology
    Replies: 1
    Last Post: 11-14-2011, 02:48 PM

Tags for this Thread

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.