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Bilateral total knee replacement

  1. Default Bilateral total knee replacement
    Medical Coding Books
    Our surgeon performed bilateral total knee replacements. I billed BCBS with L and R modifiers, but they cut the reimbursement for the second TKR in half. Should I appeal, or is this standard? We have rarely billed bilateral and I can't remember !!

  2. #2
    Location
    Columbia, MO
    Posts
    12,965
    Default
    That is standard. using the 50 modifier would be 150% so the end result is the same.

    Debra A. Mitchell, MSPH, CPC-H

  3. Default
    Thank you so much, Debra !!!

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