is modifier 50 appropriate for a bilateral kidney limited ultrasound, 76705
is modifier 50 appropriate for a bilateral kidney limited ultrasound, 76705
Do you mean 76775? If so, 76775 has a bilateral status indicator of 0 in the Medicare Physiian Fee Schedule whch means the 150% bilateral payment adjustment doesn't apply. Payment for two sides (50 or RT/LT) is lower of (a) actual charge for both sides or (b) fee schedule amount for single code. Therefore, you should report 76775 without modifier 50.
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I hope this is helpful.
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Best,
Leesa
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Leesa A. Israel, BA, CPC, CUC, CMBS
Executive Editor, The Coding Institute
Manager, TCI Consulting & Revenue Cycle Solutions
Home office: (866) 458-2973
Email: leesai@codinginstitute.com
http://www.codinginstitute.com