cynthiabrown
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we have always billed bi-lateral with rt and lt and now medicare ( illinois) will not pay......anyone else running into problems
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Wiki medicare with bi-lateral hernia
- Thread starter cynthiabrown
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TWinsor
Guru
according to what I am finding you need to use the 50 modifier for bilateral on hernia repairs. Medicare does not accept the Rt/LT modifiers on the 49505.
HTH!
HTH!
cynthiabrown
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They always did in past.is this new? Do they not accept lt,rt at all???
Kisalyn
Expert
What is your denial remark and what are the actual codes you sent through?
cynthiabrown
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i sent 49650-rt 49650-lt and denial was for medicallu unlikelt edit. more than unit of service allowable for this procedure code
TWinsor
Guru
in checking my coding software edits Medicare does not accept the Rt/LT on this code and the MUE is 1. I would suggest using 49650-50 with 1 unit.
HTH!
HTH!