Bilateral Procedures

Billing and Reimbursement
Policy Number: RP-X-012

Last Updated: Sept. 19, 2022

Blue Cross and Blue Shield of Nebraska requires providers to bill bilaterally on one line. 

  • Bilateral surgery code billed on one line with modifier 50 with one unit  
    • DO NOT bill bilateral surgery code on two lines (one with a modifier 50 and one without)  
  • Modifiers LT and RT should not be used for bilateral surgery codes – only use modifier 50  
    • Radiology/HME codes are still acceptable to use LT and RT 

Note: For Home Medical Equipment and Radiology codes, bill Left and Right with modifiers LT and RT.