Our administrator heard, but can't remember where, that when bilateral total knees are performed in a single operative session, Medicare will deny the second total knee arthroplasty. Not a 50% reduction, but a denial. Has anyone else caught wind of this??
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Wiki Bilateral total knee arthroplasty denial
- Thread starter jmkitchen
- Start date
mitchellde
True Blue
I have never experienced this and I have billed many a bilateral TKA to Mcare. How was it billed? It must be one line with a 50 modifier with 1 unit.