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Thread: Modifier "50"

  1. #1

    Default Modifier "50"

    AAPC: Back to School
    We have a Medicaid that does not allow 36216 x 2. Can we bill this CPT with a "50" modifier? In reading a definition of "50" modifier "applicable only to services and/or procedures performed on idential anatomical sites, aspects, or organs."
    Since 36216 is not idential anatomical site, What does "aspects" mean?

    Any help greatly appreciated.


    Sharon Blank, CPC

  2. #2
    Join Date
    Apr 2007


    Modifier 50 is for bilaterals. If your provider truly performed 2 catheter placements, I would look more towards 51.

  3. #3
    Join Date
    Apr 2007
    Columbus GA


    Remember that the 51 modifier cannot be used by hospitals and I don't know where this was performed. If a hospital look into appending the 59 modifier.

  4. #4

    Default mod 50

    Thanks for info and quick reply!!

    Sharon Blank, CPC

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