Surgery Billing Examples: UB-04 (surg bill ub)
amounts. If requested information does not fit neatly in the Remarks field (Box 80) of the claim, type it on an 8½ x 11-inch sheet of paper and attach it to the claim. Modifier 50. Figure 1. Using modifier 50 to identify a bilateral procedure that requires additional significant time. This is a sample only. Please adapt to your billing situation. ................
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