Wiki 20610 x 2

[mjlan_72@yahoo.com]

If an injection is done on both knees, should one of the injections be billed with both -59 and -76 modifier? We keep getting the same denial and my thought is, it is missing-59 modifier and take of -76 modifier.

 

[Orthocoderpgu]

Don't use -76, just -59.

 

[mjlan_72@yahoo.com]

That is what I thought. I am with a billing company working on outstanding AR for an ortho group and they keep putting -76 mod on the second injection, different knee. Not sure what their thought process is with this.

 

[Orthocoderpgu]

That is what I thought. I am with a billing company working on outstanding AR for an ortho group and they keep putting -76 mod on the second injection, different knee. Not sure what their thought process is with this.

Coded orthopedics for eight years and have never seen that.

 

[mjlan_72@yahoo.com]

Also, does anyone know of a E/M tool that is helpful in determining level of care to use, where you can plug in , rather than trying to guess?

 

[barelybe]

Or, try one line with modifier 50 for bilateral and double your price

 

[Orthocoderpgu]

Or, try one line with modifier 50 for bilateral and double your price

This is actually the preferred billing for most payers.

 

[klienhart]

For bilateral injections I have always used 20610-50.