Internal Medicine Dr. billing 51798

I have a Dr. asking about billing this procedure and there is some confusion regarding the modifiers 26 and TC. I have read that there is no seperate professional or technical component , so we would just bill the global?(no modifiers) what if we do not own the equipment? Thanks to anyone who can answer this. Also anyone out there bill this and know what the documentation requirements are?

re: Internal Medicine Dr. billing 51798

We have researched this to death. Because the finding is a measurement and does not require any physician interpretation, there is not a Professional Component. Where we have issue, as quite a few others, our clinic is hospital based. The equipment is owned by the facility as are the staff supporting our doctor in the clinic, we found ourselves unable to bill this code. We do add the information to support the level of e/m chosen. Thank you!
Carol

re: Internal Medicine Dr. billing 51798

I agree with cself, completely. If you don't own the equipment, they you don't get to bill for the service.