rfields
New
We are a pain management organization with several ASC's. We have been billing our bilateral procedures with the 50 modifier for Medicare patients for both the Facility and the Professional claim. As of October first Medicare has been denying our Facility claims stating there is a CPT/Modifier mismatch. Is anyone aware of new guidelines regarding ASC bilateral procedures? Our system automatically rejects us billing Medicare claims with RT/LT on two separate lines.