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CPT® code 95934 with use of what modifier.
Trying to get CPT® code 95934 to pay first we billed without modifiers but it was denied. Then we added modifier 50 which claims are still being denied. Let me clarify it is Medicare denying (not any other insurance). Should I use modifiers RT and LT with CPT® code 95934 to get Medicare to pay?
Thanks, Doris Suey
re: CPT® code 95934 with use of what modifier.
In an office setting, for bilateral procedures, modifiers 50 should be paid. Some MACs may want 95934 LT & RT (on 2 different lines). This may be way to go to avert future repetitive denials. This code pays as global, TC, or -26. If in a facility setting, you need -26 as well.