Wiki 95943 Autonomic Testing

[sondra hayden]

I am trying to get verification that this code is a comprehensive (no PC, TC split). A provider is trying to bill on a CMS1500 with modifier 26.

Per Encoder, this is a comprehensive code.

Thanks for your assistance.

 

[mhstrauss]

I am trying to get verification that this code is a comprehensive (no PC, TC split). A provider is trying to bill on a CMS1500 with modifier 26.

Per Encoder, this is a comprehensive code.

Thanks for your assistance.

Per the 2013 and 2014 CMS RVU files, 95943 has a PC/TC indicator of "1", which means that the code does have professional and technical components.