tci Part B Insider - 2009 Issue 13

Part B Coding Coach: Prevent Uni-Bi Reporting Errors With This Expert Insight

Know when to use RT/LT and when to rely on modifier 50. Dont let tricky prefixes stand in the way of maximum reimbursement for your practice. Read on to learn when you can expect deserved double payment for a service and how to ethically make the most of modifiers. Dispel Prefix Confusion The most common mistake new ophthalmology coders make is tripping over the unilateralbilateral conundrum. Here is the breakdown: Unilateral means there is a 100 percent allowance per eye. In effect, two unilateral procedures results in a payment equal to 200 percent of the fee, explained Raequell Duran...

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