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Páginas: 2 (419 palabras) Publicado: 16 de marzo de 2011
Modifier 50, bilateral procedures
Read the CPT code description closely. If it contains wording such as "unilateral" or "bilateral," the service is not valid for use of the 50 modifier.
*Modifier is used when an identical service is performed on both sides of a paired organ.
* Medicare bilateral procedure indicator is one or three.
* Submit a single claim line with the appropriatecode and modifier 50 appended; report total units as "1."
* The single line will be reimbursed at 150% of the contracted fee when the 50 modifier is appended correctly.
* Multiple procedurereductions apply when multiple procedures are performed by the same physician on the same patient in the same surgical session.
* RT and LT does not take the place of the 50 modifier and shouldonly be used for services rendered on one side of a paired organ.
* If billing on a UB 04, the bilateral procedure must be billed on two lines. The 50 modifier should only be put on the secondline.

Bilateral radiology services
* Radiology procedures are not subject to the bilateral pricing methodology. They are reimbursed at 100% of fee schedule for each service rendered.
* Manyradiology services can be reported with a bilateral modifier (services performed on both sides of a paired organ/structure), but read the CPT code description to ensure that it does not contain wordingsuch as "unilateral" or "bilateral"
* Report 2 units for bilateral services when reporting on a single claim line, or 1 unit per line when reporting on two claim lines.
* Modificador defacturación 50
* P: ¿Cuándo es adecuado facturar el modificador 50?
* R: El modificador 50 se utiliza para informar procedimientos bilaterales realizados a ambos lados del cuerpo, el mismo día. Lassiguientes instrucciones de facturación se utilizan para informar procedimientos bilaterales:
* • Radique solamente un artículo con el código de procedimiento adecuado y agregue el modificador...
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