What is procedure code 29405?
CPT® 29405 in section: Application of short leg cast (below knee to toes)
How do you bill for bilateral knee injections?
Indicate which knee was injected by using the RT (right) or LT (left) modifier (FAO-10 electronically) on the injection procedure (CPT 20610). Place the CPT code 20610 in item 24D. If the drug was administered bilaterally, a -50 modifier should be used with 20610.
What is a bilateral procedure?
CMS defines a bilateral service as one in which the same procedure is performed on both sides of the body during the same operative session or on the same day.
How do you bill bilateral procedures to Medicare?
A: If a procedure can be billed bilaterally, the provider should bill the service with a modifier 50. If the procedure is identified by the terminology as bilateral or unilateral, the 50 modifier should not be reported.
What is the CPT code for crutches?
HCPCS 2018
| E0110 | Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips |
|---|---|
| E0113 | Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
Can 20550 and 20610 be billed together?
For 20550/20551 being billed with 20610 the modifier you use will depend on the insurance. If the patient has any type of Medicare plan then use -XS. If not, -59. These modifiers communicate to insurance that the injections were performed for separate and unrelated medical conditions.
How do I know if a CPT code is bilateral?
If the code has an indicator of two, it is a bilateral procedure code. You would not need to add a modifier 50 because the code is already bilateral. A code with this indicator lets the insurance company know that both sides were done. Claims will be processed at 100% of the allowable.
How are bilateral procedures paid?
Bilateral procedures are procedures performed on both sides of the body during the same operative session. Medicare makes payment for bilateral procedures based on lesser of the actual charges or 150 percent of the Medicare Physician Fee Schedule (MPFS) amount when the procedure is authorized as a bilateral procedure.
What does modifier 80 stand for?
assisting at surgery
Modifier 80 is appended to the surgical code when another surgeon is assisting at surgery. See Column A indicates if assistant at surgery allowed/not allowed.
What is CPT code e0143?
Short Description: Walker folding wheeled w/o s. Long Description: WALKER, FOLDING, WHEELED, ADJUSTABLE OR FIXED HEIGHT.