tci Part B Insider - 2005 Issue 1

Part B Coding Coach: Find the Fee Schedule Before Billing Bilateral

Modifier -50 may not apply as often as you thinkIf you've been having difficulty determining when to use modifiers -50 (Bilateral procedure), -LT (Left side) and -RT (Right side), you're not alone. But our experts' advice - and the Physician fee schedule database - can help you select the appropriate modifier with confidence every time. First step: Before you decide between modifier -50, -LT, and -RT for a given claim, you should consult the 2004 Physician Fee Schedule database, which is available on the Centers for Medicare & Medicaid Services Web site at www.cms.hhs.gov/providers/pufdownload/rvudown.asp. If...

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