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Auditing Physician Services


Forum Discussion Areas > Ask Us a Question > modifier 50 and unit
  modifier 50 and unit
miya999888
modifier 50 and unit
Posted:
Feb 23 2012, 10:12 AM
A procedure was done on a patient right eye and left eye. I know I should use modifier 50 (bilateral). My question is, should I put 1 or 2 under the unit? Your answer is greatly appreciated!

 
rhorton4
re: modifier 50 and unit
Posted:
Feb 23 2012, 10:16 AM
mod 50 w/ 1 Unit

 
rphelps
re: modifier 50 and unit
Posted:
Feb 23 2012, 10:49 AM
The modifier 50 lets the insurance company know the units are 2.

 
nmaguire
re: modifier 50 and unit
Posted:
Feb 23 2012, 12:47 PM
1 unit

 
Codapedia Editor
re: modifier 50 and unit
Posted:
Feb 23 2012, 5:17 PM
Be sure that the procedure isn't already defined as a bilateral procedure. If a procedure is defined as bilateral, it is billed without the modifier, and with one unit.

Two articles about bilateral procedures:

http://codapedia.com/article_199_How-do-you-report-bilateral-procedures-One-line-or-two.cfm

http://codapedia.com/article_276_How-do-I-tell-if-a-code-is-defined-as-unilateral-or-bilateral.cfm

 

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Coding for Hospitalists
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