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Wiki b/l hernia repair

Thread starter tucson71
Start date May 28, 2013

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tucson71

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May 28, 2013

Please can anyone help with the question of bilateral hernia repair? I have a procedure of 49505 billed bilateral, CMS is telling me it has a payment indicator of !, which tells me to bill on one line with the 50 modifier and a unit of one. Now the provider wants to know if he will be accomodated for his increased time with an increased RVU. He understands that it should pay at 150% but feels he should also receive an increase in RVU's. Where can I find information on this

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