Wiki Cci edit

[Patti Gilroy]

I am getting a denial on CPT code 76001 , stating it is a component of 25605.

When I entered this in my CCI tool it says "a modifier can be added if appropriated", does anyone know it this should be reimbursed separately with 25605 - TREAT FRACTURE RADIUS/ULNA?

 

[cgaston]

Unless the physician owns the equipment the 76001 should be billed with a -26 modifier to signify that he is billing for the professional component only.