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Bilateral Billing for Ambulatory Surgery Centers


Provider Administrative Policy

Section
Provider Information
Policy Date
October 2013
Status/Date
New/October 2013
Provider Type(s)
Ambulatory Surgery Centers  

Disclaimer

Our provider administrative policies contain information regarding claims submission, reimbursement, and other information in order to achieve an efficient relationship with our providers. These policies are not an authorization or explanation of benefits. Blue Cross of Idaho retains the right to add to, delete from and otherwise modify this policy in accordance with our provider contracts


Policy

Bilateral Billing for Ambulatory Surgery Centers

Medicare allows for two methods of billing for bilateral procedures. However, Blue Cross of Idaho requires ambulatory surgery centers billing for these procedures to submit this information on two separate lines and include modifier 51 on the second line. We will not process single line claims with modifier 50 at the correct allowance. Appending modifier RT/LT is not required.


Policy History

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