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Wheelchair Options and Accessories – LT and RT Modifiers – September 2010

The Wheelchair Options and Accessories Policy Article currently states:

The RT and LT modifiers must be used when appropriate. If bilateral items (left and right) are provided as a purchase and the unit of service of the code is “each” bill both items on the same claim line using the LTRT modifiers and 2 units of service. If bilateral items are provided as a rental and the unit of service is “each,” bill the items on two separate claim lines with the RT modifier on one line and the LT modifier on the other. If bilateral items are provided as a purchase or rental and the unit of service is “pair,” bill both items on the same claim line using the LTRT modifiers and 1 unit of service.

The policy article is being revised to remove the requirement to report the LT and RT modifiers when the unit of service of the code is “pair.” The revised last sentence will state:

If bilateral items are provided and the unit of service is “pair,” the LT and RT modifiers do not need to be reported.

This applies to HCPCS codes E1010 (power leg elevation system), K0020 (fixed, adjustable height armrests), and K0195 (elevating legrests – for use with capped rental wheelchair base).

This change is effective immediately and will be incorporated in a future revision of the wheelchair options and accessories policy article.

Wheelchair Options and Accessories – LT and RT Modifiers – September 2010
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