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Payer-specific rules — especially rules that vary for every claim — not only make collecting revenue difficult, but also add to the cost of collection of monies earned by the physicians. A blog clarifies Novitas’ instructions for reporting modifier 50 when bilateral procedures are performed. The instructions from Novitas state that bilateral services should be […]
The post Reporting Bilateral Services: Conflicting Information Causes Confusion appeared first on AAPC Knowledge Center.
Can anyone help me to clarify this billing question:
Bilateral knee 2v x rays done for pain on each joint (not comparison).
Are these two significant procedures and how these should be charged?
one line, 7XXXX SI S – MOD 50
OR
two lines 7XXXX with 2 SI S (?) is this possible – mod XU/LT/RT??
OR
one line charge with SI S and cpt for minimum 3 or 4 views (summarizing the total # of views)?
OR other?
Thanks upfront.
Z
Can anyone help me to clarify this billing question:
Bilateral knee 2v x rays done for pain on each joint (not comparison).
Are these two significant procedures and how these should be charged?
one line, 7XXXX SI S – MOD 50
OR
two lines 7XXXX with 2 SI S (?) is this possible – mod XU/LT/RT??
OR
one line charge with SI S and cpt for minimum 3 or 4 views (summarizing the total # of views)?
OR other?
Thanks upfront.
Z
15830
15830-59
The dr documents that he performed surgery on either side of the abdomen (different locations) both of the same size, and is medically necessary for post abdominal wall radiation damage and to help with abdominal closure. This is NOT a cosmetic procedure, the patient is in global now from a recent abdominal skin graft from a recent aggressive abdominal wall debridement. However, the panniculectomy procedure is not related and was done on the left/right side of the abdomen away from the graft, I know you can bill 15734 that way for bilateral myocutaneous flap reconstruction with incisional hernias by doing 15734, 15734-59.
Any advice would be appreciated! Thank you in advanced!