By default, the
NextGen® Orthopedic Suite submits two instances of a code for bilateral tests, one for the right side and one for the left side. In the
Bilateral Billing for Internal Orders panel, you can configure financial classes and payers that accept a single code with a bilateral modifier on the
Radiology Configuration template.
Note: The system bills a single bilateral code on the
Radiology Order or
Single Order template when the following is true:
- The encounter insurance has been configured as a payer that accepts a bilateral code in the Bilateral Billing for Internal Orders panel.
- The Performed: Internal Today or Internal Later option is selected.
- A bilateral test is selected.
Note: Financial classes and payers must be set up in File Maintenance before configuring bilateral billing requirements. All External orders use two codes for bilateral billing, one for right and one for left.
