tci Outpatient Facility Coding Alert - 2016 Issue 5

Test Yourself: Does Your X-ray Coding Pass Muster With CMS?

Here are the answers to your quiz. How did you do with answering the x-ray scenarios? Find out by reading the answers below. Beef Up Your Bilateral Expertise Answer 1: The statement that you should use modifier 50 (Bilateral procedure)on all bilateral x-ray claims is false. Although your payer may sometimes require you to use modifier 50 for bilateral claims, this is not true for all bilateral x-ray claims. Modifier 50 tells the payer that the provider performed a unilateral procedure (described by a unilateral CPT® code) bilaterally during the same session. If a code includes the word &ldquo...

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