Wiki 64405 as a bilateral

[kimmerham]

Can anyone help me with this....the Dr. performed a bilateral occipital nerve block and I am not sure what modifiers to use. The payer is Medicare. Do I use 64405 twice and use modifiers LT and RT? Do I use 64405 once and use a 50 modifier? Does Medicare pay for bilateral?

 

[ajs]

Can anyone help me with this....the Dr. performed a bilateral occipital nerve block and I am not sure what modifiers to use. The payer is Medicare. Do I use 64405 twice and use modifiers LT and RT? Do I use 64405 once and use a 50 modifier? Does Medicare pay for bilateral?

Medicare rules say bilateral is allowed so you would use the 50 modifier.

 

[ollielooya]

Our doctor provides this service and we bill out on one line as Arlene stated above, 64405-50 for our Palmetto GBA MCR patients.
---Suzanne E. Byrum CPC