Wiki Billing bi-lateral splints

[paulabjohnson]

I work in PT/OT and we have many occasions where a patient is fitted with bi-lateral splints. We have used the L-code x2 with a -50 modifier and that doesn't seem correct since -50 is a procedure modifier. We have done two line items with an -RT modifier on one and -LT modifier on the other but that seems to lead to a "duplicate billing" error. We've also heard to do two lines items with -RT and -LT modifiers and -59 modifier on both lines. But that would also look like duplicate billing. Does anyone have an answer or reference for me to go to? Thank you......

 

[paulabjohnson]

Bilateral splints

After much research we have found that we should use one line item of a qty 2 with a -RT and -LT modifier. Now we'll wait and see if insurance accepts it.