DecisionHealth, DecisionHealth - 2014 Issue 6 (June)

Modifier 50 causes problems with bundled services in 2012

Be careful of bundled codes when trying to use modifier 50 (Bilateral services) or risk costly edits. Medicare administrative contractor (MAC) Palmetto recently gave a heads-up on modifier use with bilateral procedures, reminding providers that the modifier cannot be used with codes that are “inherently bilateral by their description.”
 

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