Judyann bigby, M. D
114.3 CMR 47.00 Code Deletions:
Crosswalk Replacement Codes:
There are no one-to-one crosswalks.
114.3 CMR 47.03(4) Change to Modifier 50 Description:
The description of the modifier for bilateral procedures is revised as follows:
-50: Bilateral Procedure. Payment for bilateral procedures performed at the same operative session must be identified by the appropriate service code and the modifier ‘-50.’ Only one claim line is billed for both procedures. The addition of the modifier ‘-50’ to the bilateral code will allow 150% of the allowable fee contained in 114.3 CMR 47.00 to be paid to the eligible provider for performance of both bilateral procedures.
The payment for bilateral procedures does not change as a result of the new description.
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