Results 1 to 4 of 4


  1. Default 64612
    Medical Coding Books
    Does anybody know if we can still bill cpt code 64612 with a modifer 50 to medicare and blue cross?

  2. #2
    Default can give

  3. #3
    Everett, WA
    Yes, our Palmetto MCR accepts 64612-50 if documentation substantiates. Anthem Federal does not accept modifier 50 anymore we have found (an ongoing issue). They want units instead, but that doesn't seem correct per the research I've been archiving, but again, an ongoing issue and very time-consuming. Our local Anthem follows MCR guidelines utilizing modifier 50 on one line. If you have this month's Coding Edge there is a very good article by Marvel Hammer concerning modifiers per the 64612-64614 codes. Basically, you've got to work with each of your carriers to see how their systems "want" the bilateral services to be noted. ---Suzanne E. Byrum CPC

  4. Default thank you
    I will call blue cross and have them reprocess claim. They denied for improper modifier.

Similar Threads

  1. Botox cpt 64612
    By aparscal in forum Neurology/Neurosurgery
    Replies: 2
    Last Post: 12-01-2015, 06:25 PM
  2. cpt code 64612
    By in forum Medicare Regulations
    Replies: 2
    Last Post: 04-11-2011, 09:01 PM
  3. Codes 64612 and 64613
    By Bilodeau in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 02-14-2011, 09:53 AM
  4. Botox billing 64612 - 64616
    By sneekersia in forum General Surgery
    Replies: 1
    Last Post: 09-21-2009, 01:01 PM
  5. Modifier for coding CPT 64612 & CPT 64613 on same day
    By anuja.devasthali in forum Modifiers
    Replies: 2
    Last Post: 08-21-2009, 11:33 PM

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.