Medical Billing Forum

Billing => Billing => : jolugo September 25, 2011, 12:28:00 PM

: 64613
: jolugo September 25, 2011, 12:28:00 PM

Hi- I am new to this for forum. I am billing for a Neurology practice in NY.
Can some one please tell me if Medicare is paying procedure code 64613 as a bilaterally procedure.
It seem like after April 2011. Medicare is no longer approving the procedure for payment if I use the 50 modifier.It is also happening with Blue Cross Blue Shield. Can anyone suggest how to get around this? Thanks

: Re: 64613
: Michele September 26, 2011, 10:55:58 AM

I couldn't find any information on this.  Have you contacted Medicare to ask them to point you to the documentation regarding this in the NCD/LCD?  That is where I would start.