Rana Posted Wed 10th of July, 2019 14:06:04 PM
when billing for bilateral botox injections how do we bill to get the maximum allowed payment? using mod 50 does not seem to make a difference. should i bill for example ...................92012 57 with 64612 LT, 64612 RT, 64616 LT, 64616 RT, 64646 LT, 64646 RT....OR should i just use 50 modifier and double our original billed amount per code line to pay more. we bill 350.00 now for each line code?
SuperCoder Answered Thu 11th of July, 2019 06:57:11 AM
Hi Rana nbsp Modifiers should be appended as per the correct coding guidelines If all the three procedures were performed bilaterally you should use modifier with CPT codes and on single line item You should append modifier LT and RT with CPT code on single line item nbsp nbsp Rationale...
Rana Posted Thu 11th of July, 2019 10:06:54 AM
can we double the billed amount since it is bilateral and use 50 mod on the appropriate lines and get 150% of allowed amount for bilateral surgery
SuperCoder Answered Fri 12th of July, 2019 03:49:20 AM
Hi Rana nbsp Yes that would be the correct way to bill for CPT codes and Adding modifier would ensure you get of the amount out of the doubled amount for these codes Do not use modifier for CPT code for the reason mentioned in earlier post Use LT and...