Please note this question was answered in 2021. The coding advice may or may not be outdated.
Bilateral Procedures in 2021
Date: Jun 21, 2021
Question:
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?
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