We are an ASC and we bill bilateral pain injections using two identical CPT codes with LT/RT modifiers. This is what our third party coding company has done for awhile, and payers have no issues. We recently had a dispute with someone saying we should be coding the CPT code with modifier 50. Does anyone have a source that says LT/RT modifier use instead of 50 is appropriate? We are looking for proof from a reliable source.
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Modifier 50 Vs LT/RT
- Thread starter Bankertj
- Start date
Hdean
Contributor
I don't have "proof" per say as a policy from any source, but I own a billing company and we use RT/LT modifiers all the time with our clients and we have no issues getting our claims processed. Was this debate with a specific insurance carrier, patient or just another staff person?
Heather Jones, CPC, CPB
Absolute Practice Solutions
(ph) 336-422-7824
(f) 877-217-6073
Heather Jones, CPC, CPB
Absolute Practice Solutions
(ph) 336-422-7824
(f) 877-217-6073
Barbiejean
Contributor
It might be payer specific. Our BCBS TX wants the 50 not LT/RT.
Jlbirmingham
New
This is payer specific for us. Some want 50 and others want RT/LT.