Would anyone know how a claim from an ASC should be billed for a procedure code like 69436, where in CPT it states to use -50 to report bilateral procedures? In SE1422 there is a caution note that states:
Providers and suppliers, other than ambulatory surgical centers (ASCs), are reminded that Medicare billing instructions require claims for certain bilateral surgical procedures to be filed using a -50 modifier and one unit of service (UOS).
But if billed as two line items or with a unit of 2 then it hits a MUE edit, with a MAI 2.
ASC billing is not something I am familiar with so any help would be appreciated.
TIA
Providers and suppliers, other than ambulatory surgical centers (ASCs), are reminded that Medicare billing instructions require claims for certain bilateral surgical procedures to be filed using a -50 modifier and one unit of service (UOS).
But if billed as two line items or with a unit of 2 then it hits a MUE edit, with a MAI 2.
ASC billing is not something I am familiar with so any help would be appreciated.
TIA
Billing mod -50 in an ASC
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