Wiki Billing Question

[shorteep]

Hello,
My doctor is billing code 15823 bilateral and code 67900 also bilateral to Medicare. My question is can I bill 50 modifer on both with 2 units on each line. or is it better to bill LT & RT
thank you for your help

 

[csperoni]

-50 with 1 unit is the correct way to bill for bilateral vs 2 lines with -RT and -LT for Medicare.
Some commercial carriers come up with different policies. I know of one local commercial payor who will only pay if billed 2 separate lines, one -RT, one -LT, but most follow the Medicare guidance.

Modifier 50 Fact Sheet

www.novitas-solutions.com

https://www.palmettogba.com/palmetto/jjb.nsf/DIDC/J9PB8KXN1Y~Appeals~Filing%20an%20Appeal#:~:text=Medicare%20requires%20that%20when%20bilateral,the%20left%20and%20right%20side.

https://www.facs.org/media/dcolbll4/2013_10_bilateral.pdf