Modifier RT and LT: Right vs Left Side Billing Rules

Last Updated: November 21, 2025

Stop filling the CMS-1500 form by hand.

Upload your superbill and let our AI auto-fill the CMS-1500 claim for you in 5 seconds. Catch coding errors and prevent denials before you submit.

In orthopedics, laterality is everything. Modifier RT (Right side) and Modifier LT (Left side) are mandatory for procedures performed on paired organs or limbs (eyes, ears, arms, legs, knees, hips).

TL;DR Quick Answer

Short on time? Don't want to read the whole guide? Ask our AI your specific billing question and get an instant answer.

When to Use RT and LT

If a code descriptor is unilateral (meaning it describes treating one side), you MUST append RT or LT. Example: 27447-RT for a right total knee replacement.

Compare CPT Codes

Confused between with vs. without contrast? Look up the official code descriptions.

RT/LT vs Modifier 50

If the surgeon performs the procedure on BOTH sides during the same operative session, you generally do NOT use RT and LT on two separate lines (unless specifically instructed by a commercial payer). For Medicare, you use a single line with Modifier 50 (Bilateral Procedure).

Verify Medical Necessity

Don't risk a denial. See if your ICD-10 code is on the approved Medicare LCD list.

NCCI Edits and Add-on Codes

Do not append RT or LT to add-on codes or codes that inherently describe "bilateral" in their CPT definition. Doing so will confuse the claims system and result in a denial.

Check NCCI Edits Instantly

Not sure if these codes bundle? Check the latest Medicare NCCI database updates before you bill.

Tired of dealing with rejected claims?

Use our modern CMS-1500 software to instantly validate NPIs, CPT codes, and ICD-10 formatting. It's completely free to start.

Create Your Free Account

Related Articles