Wiki Lap bilateral inguinal hernia repair billing to two insurances

[kyhardy]

We have a patient who had a lap bilateral inguinal hernia repair. The right side was covered under WC claim, but the left hernia was not related to work and needs to be billed to commercial insurance. Should we bill 49650-50 with WC as primary and commercial insurance secondary or bill them 49650 RT & 49650 LT on separate claims to the respective insurance companies?

 

[michellepilcher]

I bill each procedure to the correct coverage. WC knows which side they are responsible for and will definitely not pay for the other side. When I've done it, both insurances have already determined who is responsible for what and things have always been paid correctly.