Wiki Bilateral billing/Lap Hernia49650 HELP!!

[SS62]

Hi

Can I bill two lines RT/LT for Lap Hernia 49650? I was always under the impression if it was done lap it could not be billed rt/lt? This is an issue currently being audited....Thanks, Susan

 

[mbort]

yes 49650 should be billed with two lines, rt/lt (probably a 59 on the 2nd line depending on carrier)

 

[dmaec]

per CCI Edits - status indicator "1" in the Bilateral surgery rules column means:
Bilateral surgery rules apply (150%). Use .50 modifier if bilateral. Units =1

sorry, didn't mean CCI Edits -status indicator - meant to say RVU schedule, status indicator -

 

[mbort]

per CCI Edits - status indicator "1" in the Bilateral surgery rules column means:
Bilateral surgery rules apply (150%). Use .50 modifier if bilateral. Units =1

This is an ASC (or at least the ASC forum) where different guidelines apply.