Be a little more specific. Your rambling above is confusing.
Insurance carriers can set their own policies and sometimes when it comes to modifier 50, they will not accept that as they want a RT/LT on two separate lines. I have even seen where they consider the procedure bilateral when in fact CPT indicates it is not bilateral.
Sometimes it is best to have the MD call the Medical Director as occasionally the doctor to doctor discussion gets things accomplished a lot faster. Just make sure the MD has the facts and understands the issues - coach the MD.
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