Ask Dr. Z

Ask Dr. Z Knowledge Base houses over 7,500 coding questions and answers dating back to 2013.

Ask Dr. Z Disclaimer

Please note this question was answered in 2020. The coding advice may or may not be outdated.

36227 Add-on Denials

Date: Jun 1, 2020

Question:

We are starting to get denials from multiple MACs because 36227 has an MUE of 1 and a bilateral indicator of "1". Your book and CPT suggest add-on codes should not be billed with modifier -50. What are your thoughts?

Sign up for a membership to view the answer to this question.

Need to ask Dr.Z?

Don't see the answer you're looking for in the knowledge base? No problem. You can ask Dr. Z directly!
Ask Dr. Z a question now!