In CMS
Dec 26th, 2017
Most radiology services or procedures, although described by a single CPT® code, are comprised of two distinct portions: a professional component and a technical component. The professional component is provided by the physician, and may include supervision, interpretation, and a written report. To claim only the professional portion of a service, CPT® Appendix A (“Modifiers”) ...
In Audit
Jul 5th, 2016
Whether you may assign credit in the data review section of medical decision-making (MDM) if the provider separately bills for the professional component of a test is a matter of payer interpretation and policy, as explained by the American College of Emergency Physicians (ACEP): If I bill for an ECG or X-ray interpretation, can I ...
Dear John, Q: When reporting radiology services, are transcription services considered to be included in the technical component (TC) or the professional component (PC)? A: When defining professional and technical components for radiology services, the Centers for Medicare & Medicaid Services (CMS) stipulates: The PC of a service is for physician work interpreting a diagnostic test or ...
In Billing
Aug 4th, 2015
Occasionally, the total service/procedure described by a single CPT® code is comprised of two distinct portions: a professional component (modifier 26) and a technical component (modifier TC). The professional component of a diagnostic service/procedure is provided by the physician, and may include supervision, interpretation, and a written report. The technical component of a diagnostic service/pr...
Jul 1st, 2013
Cardiovascular and ophthalmology technical service providers will feel the penny pinch. By Uma Nachiappan, CPC, CCS Effective Jan. 1, 2013, the Centers for Medicare & Medicaid Services (CMS) expanded its Multiple Procedure Payment Reduction (MPPR) policy to cover diagnostic cardiovascular and ophthalmology procedures. Providers rendering the technical component (TC) of such services can expect ...