Forum - Questions & Answers

Jun 3rd, 2011 - shepherd101627 1 

Professional and Techincal Component

Can both components be billed on CMS 1500 with modifier 26 and TC?
codes are 94060, 94240 and 94720

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Jun 3rd, 2011 - jschmutz   323 

re: Professional and Techincal Component

When the provider is performing and reporting both the technical and professional component you report the global code which is the CPT® code with NO modifiers.

For example to bill for both the professional and technical component of 94060 you would list 94060 on the HCFA (no modifiers).

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Jun 5th, 2011 - DebraS   67 

re: Professional and Techincal Component

Think of it this way. The code already includes both. So if a physician wants only one of the components, they created modifiers to pull out and separate those two components when necessary (technical - TC or professional - 26). When you do both, no modifier is required because the value of the code already includes both components.

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