modifier 26

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    Wiki When does Modifier -26 apply to CPT 93458 in a hospital setting?

    Hello everyone! We work at a hospital where we've been receiving denials from insurance carriers that modifier -26 needs to be appended to CPT 93458 and associated codes due to cardiac catherization procedure performed in hospital setting for POS 21, 22, and 23 when performing percutaneous...
    • she803
    • Thread
    • 93458 cardiac catheterization procedures hospital setting modifier 26 percutaneous coronary intervention
    • Replies: 5
    • Forum: Cardiology
  2. A

    Wiki -TC Modifies

    So my company is finalizing a contract with Optum as a VA community care network provider and n the contract it says to use -TC modifier wit 90832, 90837, 90838, etc. and -26 modifier with things like group seasons. Here is my question- why would we use -TC modifier with individual thereapy...
  3. kimmcelderry@gmail.com

    Wiki Telehealth xrays

    Hi there, I work for an ortho clinic so we have our own xray equipment. We normally bill out xrays without a modifier for in-office visits, but with telehealth the patient came in a few days earlier for xrays. We are receiving denials for billing xrays with a TC mod when the pt physically comes...
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