tci Medicare Compliance & Reimbursement - 2009 Issue 17

MODIFIERS: Don't Get Burned by Bilateral Modifier Guidelines

Number '2' in column Z? Strike out modifiers 50, RT, LT as options. Not sure if you can apply a modifier when your physician performs a bilateral procedure? Leaving the modifier off could cancel out additional compensation your physician deserves for the surgery. Check out these sure-fire ways you can determine if a particular code allows a bilateral modifier. Scenario: Your doctor performs a complete pelvic lymphadenectomy (38770, Pelvic lymphadenectomy...) on both sides, and you're not sure what modifier(s) to use. What should you do? Before deciding between modifiers 50 (Bilateral procedure), LT (Left side), or RT (Right...

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