BMBankOfMedicare.comBilling University & Reimbursement Research

Modifier Workflow

Laterality and Supply Relationship Modifiers

Report side or the relationship of a supply to a related benefit only when the code and payer instructions require it.

Research sequence

  1. 1Confirm laterality in the order and record
  2. 2Confirm the primary device or benefit relationship
  3. 3Check code-specific modifier instructions
  4. 4Keep claim lines internally consistent

Modifiers in this workflow

RTRight sideLaterality modifier.DetailsLTLeft sideLaterality modifier.DetailsAUItem furnished in conjunction with urological, ostomy, or tracheostomy supplySupply relationship modifier where applicable.DetailsAVItem furnished in conjunction with a prosthetic deviceProsthetic relationship modifier where applicable.DetailsAWItem furnished in conjunction with surgical dressingSurgical dressing relationship modifier where applicable.Details

Use current official or licensed modifier definitions and payer instructions. A modifier communicates a supported claim fact; it does not create coverage or medical necessity.