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Thread: L3000 Bilateral

  1. #1

    Default L3000 Bilateral

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    What is the correct modifier to use for L3000 when done for both right and left?

    This is how it was submitted:
    L3000 NU LT (was paid)
    L3000 NU RT 59 (denied by insurance as inappropriate modifier)

    Thanks for any feedback!

    Sue

  2. #2
    Join Date
    Apr 2007
    Location
    Colorado Springs
    Posts
    175

    Default

    We use this code quite frequently and we just bill it with 2 units. So its one charge line with 2 units.
    Brittany Purcell, CPC

  3. #3

    Default

    Thanks, Brittany! We'll see if that works.

  4. #4
    Join Date
    Apr 2007
    Location
    Flint, Michigan
    Posts
    65

    Default

    We bill for L3000 on two lines:
    L3000 RT
    L3000 LT
    No other modifiers and have been paid for both.

  5. #5

    Default

    Interesting. So are there really two ways to reflect this (you say tomAto, I say tomato)? Or does it vary by payor?

  6. #6

    Default

    In my experience it varies by payor. Currently BCBS-Michigan is only paying for one orthotic (as opposed to two) if L3000 is billed on one line with a quantity of two, and a KX, RT, LT modifier combo. The way we now bill it is on 2 separate lines.

    L3000 KX RT
    L3000 KX LT

  7. #7

    Default

    We bill it on two separate lines with a -RT and a -LT and have gotten paid

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