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- HCPCS and CPT Standard Modifiers - Blue Cross Blue Shield of Massachusetts
To prepare for HIPAA's new electronic claims transaction format, we will require standard modifiers on all claims (paper and electronic) that are received on or after June 1, 2003, and will reject claims that use non-standard modifiers after that date
- Medical Policies - Blue Cross Blue Shield of Massachusetts
Searching for a medical policy? For the best results, search on the medical policy site by category, policy number, procedure code, or alphabetically Medical policies for Medicare Advantage members: We are required to make coverage determinations for services through the CMS National Coverage Determination (NCD) policies and benefit manuals
- Medical Policy | Blue Cross Blue Shield of Massachusetts
Medical Policy Overview Search Medical policies are scientific documents that define the technologies, procedures, and treatments that are considered medically necessary, not medically necessary, and investigational link to investigational policy
- Massachusetts | Commercial
Modifier 50 Bilateral Procedure: Unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code
- Wiki 50, QW, RT LT modifers for BCBS - AAPC
For +64494, the CPT guidelines say you can use mod 50 with the primary codes, but report add-on code +64494 "twice, when performed bilaterally Do not report modifier 50 " You mentioned you had split the reporting on to separate lines, though, so it sounds like even following that rule didn't work
- Claims, Coding, Payment - Blue Cross Blue Shield of Massachusetts
The following payment policies, updated in Q4 2022, are now available on Provider Central To download our payment policies, log in and click Find a Payment Policy on the right side of your home page Or, go to Office Resources>Policies Guidelines>Payment Policies
- Medical Policies - Blue Cross Blue Shield of Massachusetts
Finding a Medical Policy View an alphabetical listing of medical policies; View a directory of medical policies listed by category; Type a subject, condition, treatment or document number into the Quick Search box on the right to obtain a listing of related medical policies Medical and Pharmacy Policy Updates
- BCBS Mod 50 51 | Medical Billing and Coding Forum - AAPC
Bilateral surgical procedure reimbursement: A bilateral surgery that uses a unilateral code should be reported on a single line with modifier 50, using one (1) unit of service Reimbursement is 150% of the allowance for the procedure code
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