marci_ann
Networker
I have a H-Reflex study done on both sides of the body for a Medicare patient. I had entered it as 95934 x2 and it was denied. Does Medicare allow the 50 modifier on this code? Thanks!
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki 95934 - h reflex study done on both sides. Modifier 50?
- Thread starter marci_ann
- Start date
RebeccaWoodward*
True Blue
Yes...
Bilateral Surgery (50) 1 = 150% payment adjustment for bilateral procedures applies.
Bilateral Surgery (50) 1 = 150% payment adjustment for bilateral procedures applies.
bmcchargue
New
brendam
I am still getting denials from MCR when posted on 2 lines with -50 on second line of 95934????
I am still getting denials from MCR when posted on 2 lines with -50 on second line of 95934????
marvelh
Expert
For Medicare, bill it as a single line item with modifier 50 appended and 1 unit of service; make sure your billed amount is above the 150% of the allowable for a single unilateral diagnostic study
bmcchargue
New
Thank you so much. 