Ask Dr. Z

Ask Dr. Z Knowledge Base houses over 7,000 coding questions and answers dating back to 2010.

Ask Dr. Z Disclaimer

Bilateral Procedures in 2021

Date: Jun 21, 2021


I'm still confused on the use of modifier -50 and -RT/-LT for spine injections. Revisiting quest ID #13686, is it appropriate to code 64493-50, 64494-RT, 64494-LT, 64495-RT, 64495-LT for 3 level bilateral lumbar facet injection (Medicare patient)? Can you comment specifically on using -RT/-LT with 64494-64495 and also reporting 64495 twice? CPT is contradicting, "Do not report more than once p/day" .... "Report twice for bilateral".  I've been checking for updates but haven't found any. Are there any updates that you know of?

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!