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Medicare AdvantageBilling CodesMedium impact

MA03.002s, Modifier 50: Bilateral Procedure

Independence Blue Cross·Coding
Effective date
Jan 13, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

Medicare Advantage has updated policy MA03.002s regarding Modifier 50 for bilateral procedures. This policy change affects how bilateral procedures should be coded and billed for Medicare Advantage plans, with implementation starting January 13, 2025.

Action Required

Action needed
By January 13, 2025: Billing team must review and update billing procedures for Modifier 50 bilateral procedure coding per policy MA03.002s. Update billing software settings and staff training materials to ensure compliance with new Medicare Advantage bilateral procedure requirements. Verify current bilateral procedure claims are being processed correctly under the new policy.