Question:
Texas Subscriber
Answer:
Yes, you should sometimes put another procedure first. If the 150 percent amount of the relative value units (RVUs) for a bilateral procedure is the highest, you should put that code first.Here's why:
Because the insurer will discount the second and subsequent procedures based on multiple procedure discounts, it's best to list the codes in RVU order, with the highest-paying code listed first. Keep in mind that you should follow this rule of thumb even if your insurer requires you to append modifier 51 (Multiple procedures) before you submit the claim.Payers will determine your primary and secondary procedures in one of three ways: