emilyo
New
I billed 28805-rt and 28805-lt, it came back denied. Should it have been just one 28805 with a 50 modifier or the way i did should be correct?
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Wiki 28805
- Thread starter emilyo
- Start date
mitchellde
True Blue
what was the dx code (s) you used
emilyo
New
Only i96
Orthocoderpgu
True Blue
Your diagnosis could be the issue here
Some insurance companies like bilateral procedures billed with -RT & -LT like you did. Others prefer -50. You will just have to keep track of them to determine their preference. However, in this case I think the most likely reason for the denial is your diagnosis code. Without knowing the reason behind the denial, there is no way to tell. The first thing that I would do is check to see if you can bill with a more specific diagnosis.
Some insurance companies like bilateral procedures billed with -RT & -LT like you did. Others prefer -50. You will just have to keep track of them to determine their preference. However, in this case I think the most likely reason for the denial is your diagnosis code. Without knowing the reason behind the denial, there is no way to tell. The first thing that I would do is check to see if you can bill with a more specific diagnosis.