Wiki Billing 31298 for Medicare

[crazyfor3day]

My claim for 31298 has been denied by Medicare for improper modifier. Does it need a modifier 50 to imply bilateral? Can anyone share with me how they are billing this? Has anyone been paid for this code yet? Any info would be greatly appreciated!

 

[JenniferB7]

CPT code 31298 is a bilateral eligible code.

How are you reporting this code on the claim form (one or 2 lines) and who is your MAC (Medicare Contractor)? It will help me research this further for you.

 

[pattybruno]

Pattyent

Yes, I have billed the 31298 to Medicare and received payment according to the fee schedule. The contractor for our area is Novitas.