Wiki 69436-50 or 69436 lt & 69436 rt

[codedog]

I have been using 69436 with a modifer 50 when our ASC does these procedures. Most of these are medicaid patients. Someone told me I should be using 69436 Lt and 69436 RT instead, is this so?

 

[jthweatt]

I think that is a carrier-specific issue, either way is correct from a coding stand point. Contact your local Medicaid carrier to determine how they want you to submit for correct payment.

Jerri, CPC

 

[elenax]

I use 69436-50 for medicaid and I get pay with no problem

 

[CVelez]

I agree with Jerri it is carrier specific. I'm in FL our Medicaid carrier will only accept modifiers 50, 73 and 74 for an ASC.

Charla, CPC, CASCC