when you do this at this office you should use 26 right? Our doctors owns ans uses it. so which one should I use? has the cpt changed, Most of the insr. dont pay for it!!!! little help please!!!!
I don't know for sure, but it seems to me that if the ASC owns the equipment and read them, there would be no need for a modifier except the SG for ASG for Medicare. We get paid for them. I would appreciate any input.
If your physician owns the equipment and uses it during procedures, you do not use any modifier. This would mean that you are billing globally (for the technical and professional components). You also state that most insurances do not pay for it. What is their denial reason? Are you being denied for both the professional and technical components? What insurance companies are denying?
Our facility does not own the equipment. We have a tech that comes over from an imaging center next door and she operates the equipment while the surgeon does the procedure. In this case, should I be billing the flouroscopy with the TC modifier? Please help!!!
I have another question regarging fluro in an asc. We are a pain clinic. We do one surgical session, and I bill on fluro with a TC modifier. I was recently audited by an outside coding person who told me I needed to bill a fluro with every injection we did, with a 59 modifier. Any feedback?