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CODING 20610 PROCEDURE

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srob48:
 :-\
OK I have been a coder for almost 20 years and I am stumped on an issue. I work for a medical billing company and we have a rheumatologist. I am going to list the procedures he performed and then I will let you know what I need HELPPPPPP with!
99214
20610 on left knee
20610 on right knee
96372
J1885
J9260
J0702-this was in the left shoulder and the left knee.

Now my question is how do I need to bill this out!!!!! Can I bill 20610 twice or do I need to use the -50 modifier. I am pretty sure when using the -50 modifier you can't charge 2 units, but I guess I am truly loosing my mind today on Friday the 13th because I am going nuts over this! PLEASE I BEG anybody out there your input would be so greatly appreciated!! Let me know of any modifiers you think need to be used etc. Any information! I may be a CCS but today I feel like I'm in my first day of school! SERIOUSLY I NEED HELP!  ::) THAT IS HOW I FEEL, LIKE A TOTAL DING BELL.

Seriously though any input will be so appreciated!


Thanks again!

Michele:
Some carriers prefer 50 modifier, one line, one unit.  Others prefer LT/RT modifiers. Best advise...contact the carrier to see how they would like it.  Personally I would go with the LT/RT.

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