Article Detail - JE Part B
Bilateral Procedures Payments Billed with RT and/or LT Modifiers - Resolved 08/04/22
Provider/Supplier Type(s) Impacted: Providers that bill surgical services.
Reason Codes: 572, CO45
Claim Coding Impact: Type of service (TOS) 2 and 8 procedure codes with a bilateral indicator of “1”.
Description of Issue: Beginning May 2022, claims may have an inappropriate payment allowance for bilateral procedures billed with an RT and/or LT modifier.
Noridian Action Required: Noridian made system updates 07/07/22 to resolve the issue.
Provider/Supplier Action Required: No action required.
Proposed Resolution/Solution: Noridian will perform mass adjustments to correct any overpayment or incorrect payments.
08/04/22 - Noridian initiated the mass adjustments.
Date Reported: 07/14/22
Date Resolved: 08/04/22
Last Updated Fri, 05 Aug 2022 16:13:05 +0000