Rebecca, I don't disagree that by definition, modifier 50, with a status indicator of 3, applies to radiology charges. And I appreciate your research and attention to accuracy on the matter. But, in reality, many payers have their own inerpretation of this guideline. This is why one should first check with his/her payers to see which they prefer. If you deal with any of the same insurance companies as I do, then they will tell you that they cannot advise on what they will pay and what they won't. You'll just have to bill it and find out. That is what I have done. Modifier 50 on radiology charges does not get paid (as two charges). Reporting them separately with LT and RT does. Unfortunately, this is just one of those things in which there are two ways to do it, but the one which seems to be correct, by the book, doesn't work.
Bill