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24 Ιαν 2017 · Both codes are unilateral: If medical necessity requires bilateral imaging, you may append modifier 50 Bilateral procedure. The 2017 National Physician Fee Schedule Relative Value File assigns a “1” bilateral indicator to 76641 and 76442, meaning that Medicare will allow 150 percent of the standard reimbursement for properly billed ...
When reporting a screening mammogram, both the CPT 77057 “Bilateral screening digital breast tomosynthesis” code and CPT 77063 “(Bilateral) screening mammography, bilateral (2-view film study of each breast)” code must report.
This guide is not an affirmative instruction as to which codes and modifiers to use for a particular service, supply, procedure or treatment. It is the provider’s responsibility to determine and submit the appropriate codes and modifiers for any service, supply, procedure or treatment rendered.
When the same type of breast ultrasound study is performed on both breasts, it is appropriate to report the code twice – once with an RT modifier and once with an LT modifier to designate a bilateral procedure was performed.
18 Οκτ 2019 · Like other ultrasound codes, 77 641 and 77 642 describe unilateral examinations. When a bilateral ultrasound is performed, the CPT code should be reported twice (once with an LT modifier and once with an RT modifier) .
11 Απρ 2017 · The listing of the breast ultrasound codes in Transmittal 3364 with the assignment of a bilateral indicator of “3” [The usual payment adjustment for bilateral procedures does not apply] was in error.
In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images. For clinical responsibility, terminology, tips and additional info start codify free trial.
