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Sadna Posted Thu 17th of August, 2017 11:22:00 AM
The Radiologist performed four MRI's and four 3D imaging's. 73721 for left and right foot. 73718 for left and right ankle. 76377 for left and right foot and ankle. For codes 73721 and 73718 do we need to use modifiers RT, LT and 59. For code 76377 as per super coder we cannot use modifiers RT and LT. Should we bill with modifier 59 for four separate line items or can we bill with four units with no modifiers.
SuperCoder Answered Fri 18th of August, 2017 06:21:50 AM

Hi,

Cpt code 73718 and 73721 should be billed with modifier 50 as per the scenario described above. For cpt code 76377 only 2 MUE is allowed.

Hope this helps!

Sadna Posted Mon 21st of August, 2017 15:46:09 PM
Shouldn't Modifier 50 only be used for surgeries?
SuperCoder Answered Tue 22nd of August, 2017 02:48:25 AM

Hi, 

Modifier 50 bilateral is applicable to diagnostic, radiological and surgical procedures when services provided on both sides of the body during the same operative session. For more information please go through undermentioned links.

 

https://www.cms.gov/Medicare/Medicare-Contracting/ContractorLearningResources/downloads/ja6526.pdf

https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/r442cp.pdf

Feel free to ask further queries.

Hope this helps!

Sadna Posted Wed 30th of August, 2017 11:23:18 AM
Hi. Is the following correct? 73721 - 1 unit - Modifier 50. 73718 - 1 unit - Modifier 50. 76377 - 2 units - Do we need to use a modifier?
SuperCoder Answered Fri 01st of September, 2017 06:22:54 AM

Hi,

 Yes, you can bill cpt code 73718 and 73721 with modifier 50 if performed bilateraly. For cpt 76377 2 units are billable no modifier is required.

Hope this helps!

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