Wiki IOL with modifiers

[HOLLYG]

I am getting denials form BCBS when I submit 92136 26 LT. The denial states "need correct procedure code to determine benefits". Has something changed that I am not aware of? BCBS has previously paid this without a problem.

 

[Cheezum51]

92136 is a bilateral code. Try it without the LT modifier.

Tom Cheezum, O.D., CPC

 

[Tiger]

Modifier 26 Lt is correct if you are seeking payment only for the professional component for the left eye, presuming you have already billed for the technical component before.