Tag Archive | "modifier 50"

Bring in Correct Bilateral Procedure Pay With These Pro Pointers

Thursday, February 7, 2019

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Choosing medical codes and modifiers for bilateral services can be confusing. Here are a few questions you can ask to help ensure accurate coding and reimbursement for physician claims. Does the Code Descriptor Specify Bilateral? “Bilateral surgeries are procedures performed on both sides of the body during the same operative session or on the same […]

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3 Things to Know Before Reporting Spine Code 63030

Tuesday, January 17, 2017

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$1,012.06. That’s the national Medicare rate for lumbar laminotomy code 63030 in January 2017. To help ensure you collect every dollar you deserve (but not a penny more), keep these three tips in mind for proper reporting. 1. Know How to Count Interspaces Watch for the word “interspace” at the end of the descriptor for […]

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Ace Your Bilateral Chemodenervation Coding

Wednesday, June 13, 2012

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If earning reimbursement for bilateral injections of Botulinum toxin for chemodenervation still seems like a distant dream, here’s some hope. Read on for advice on accurately reporting laterality this year. Review Medicare’s Status Indicator Revision Effective January 1, 2012, Medicare switched back the bilateral indicator for codes 64613 (Chemodenervation of muscle[s]; neck muscle[s)] [e.g., for […]

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Draw the Line Between Aspirate and Removal

Monday, May 14, 2012

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Question: My ob-gyn performed a laparoscopy and irrigated a right ovarian cyst. Should I report 58662? How about if he performs a laparoscopy with the resection of bilateral endometriomas? Answer: You need to refer to your physician’s notes. Did he aspirate or drain the right ovarian cyst? If so, you should report 49322 (Laparoscopy, surgical; […]

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