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...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Part B Insider +Archives

free demo
request yours today
pricing
for any budget
sign IN
welcome back!