We are an ASC and we bill bilateral pain injections using two identical CPT codes with LT/RT modifiers. This is what our third party coding company has done for awhile, and payers have no issues. We recently had a dispute with someone saying we should be coding the CPT code with modifier 50. Does anyone have a source that says LT/RT modifier use instead of 50 is appropriate? We are looking for proof from a reliable source.
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LT/RT on J1020 and J1030 – Depo-Medrol
Hi there,
We are hearing from one of our offices that they are billing the J1020 and J1030 with the LT and RT modifiers. Does anyone else do this? I’d like to recommend that these modifiers should only be appended to the actual injection procedure (for example, the 20610). I’m curious to know how others are billing this.
We are hearing from one of our offices that they are billing the J1020 and J1030 with the LT and RT modifiers. Does anyone else do this? I’d like to recommend that these modifiers should only be appended to the actual injection procedure (for example, the 20610). I’m curious to know how others are billing this.
Thanks,
Cheryl