Reader Questions:
Consider Modifier Switch for Bilateral Billing of 1 MUE Codes
Published on Fri Sep 11, 2020
Question: Why might I be receiving a denial for frequency when submitting two units of a 54522 with modifiers LT and RT to Medicare? Tennessee Subscriber Answer: The bilateral surgery indicator of “1” indicates you can bill 54522 (Orchiectomy, partial) as a bilateral procedure. In this scenario, the obvious culprit may refer back to the code’s medically unlikely edits (MUEs). [...]