decisionhealth Newsletters, Part B News - 2020 Issue 7 (July)
You can append modifiers 50 and 51 to same code but check MAC policy
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Article Overview
This article reviews a coding question about whether bilateral and multiple-procedure modifiers can appear together on the same claim line. It focuses on Medicare payment processing, contractor-specific policy considerations, and references to CMS and Novitas resources. The piece is aimed at coders and billing staff who need to understand the general policy environment without relying on a single blanket rule.
Why This Topic Matters
Modifier usage can affect claim processing and payment allocation, so coders and billing teams need to know when payer policy may differ from general expectations. This article helps readers identify the relevant payer resources to check before submitting claims.
What You Will Learn
- How Medicare addresses the interaction of bilateral and multiple-procedure modifiers
- Why contractor policy may matter when applying modifier guidance
- What types of official resources are cited for further review
- Why add-on procedures are treated differently in general coding guidance
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Compliance teams
Codes Discussed
Modifiers Discussed
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