bprimavera
New
Patient had B/L TKR performed together. Dr. A was the primary surgeon on the left knee and assistant surgeon on the right. Dr. B was the primary surgeon on the right knee and assistant surgeon on the left. Patient has federal Medicare and they have not accepted billing unilaterally; denial states they require a -50 modifier. However, a -50 would be inappropriate because Dr. A would be billed as primary for both left and right and Dr. B would be billed as the asst on both sides, which is not accurate.
I was told I was wrong when I said I would bill it unilaterally and appeal it later with medical documentation so now I'm stuck on how to get these procedures out.
Any insight would be helpful! Thanks in advance!!
I was told I was wrong when I said I would bill it unilaterally and appeal it later with medical documentation so now I'm stuck on how to get these procedures out.
Any insight would be helpful! Thanks in advance!!