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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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