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Provider Based Coding for Pulmonary

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06-30-2012, 06:37 PM

dnp686

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Provider Based Coding for Pulmonary

I not sure if there is anyone familiar with provider based billing but it's where MCR claims split for A side billing & B side billing. My question is with PFT codes 94727, 94729, & 94060 if the provider is performing all the tests in his office (provides all the equipment) and does the reading of the tests can I use the 26 modifier on the B side of the claim & TC on the A side of the claim for all 3 codes? I have gotten answers saying can use 26 modifier for the 94727 & 94729 but not the 94060. I have also been told can only use the TC modifier for the 94060. Can someone help me with this?
Desperately seeking a correct answer! Thanks
dnp686
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