We bill as an outpatient dept of a local hospital (not an ASC)
How are bilateral procedures supposed to be billed? We always billed Medicaid and Medicaid Replacement plans with 2 lines, the first w/ RT modifier and the second w/ LT modifier. They would not accept modifier 50. Now they are denying the 2nd procedure (with the LT modifier) and only paying for 1 side.
Also, how does the new methodology determine bundling (packaging) of codes into a single payment for certain procedures and discounting for multiple procedures?
Thank you in advance for your help!