Medicare is denying 36471-RT and 36471-LT on the same day as CO151 Payment adjusted because the payer deems the information submitted does not support this many/frequency of services.

Our doctor did sclero on multiple veins, same leg on both legs on the same day. The rep at FCSO Medicare is saying only one unit per day for 36471 and suggested to resubmit the claim with appropriate modifier. But I am using the RT and LT. Didn’t think I should use 50 modifier because it isn’t exactly the same on both sides. Do I need a 59? Any suggestions?

Thank you,
Leslie