tci Part B Insider - 2007 Issue 27

Part B Coding Coach: Make the Coding Grade With This True/False X-Ray Checkup

Don't fall prey to this common bilateral coding trapMedical X-rays have been around since 1895, so you might expect to have a well-honed set of coding rules by now. Reality: You may have as many rule sets as you have payors. See whether you-ve got these two X-ray coding subtleties down. 1. True or False: Use Modifier 50 on All Bilateral X-Ray Claims Answer: This statement is false. Although your payor may sometimes require you to use modifier 50 (Bilateral procedure) for bilateral claims, this is not true for all bilateral X-ray claims.Modifier 50 tells the payor that...

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