• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Lab Split billing TC-26


Best answers
Hi All
I am trying to find articles to define Clinical Lab Billing/Coding requirements per Medicare.
We employ the both the Pathologist and the Technician.
Currently the PATHOLIGIST works PART TIME, so we were told we must bill the -26 for pathologist and pay pathologist the exact amount Medicare reimburses for -26.
Pathologist cannot benefit (be compensated) for any of the –TC Medicare reimbursement.
Therefore, we must split bill the -26 and –TC
Does this requirement go away if/when pathologist is employed FULL TIME?

Example: would be a 88305
Technician prepares silds and the Pathologist does the read.
Is it correct to bill to Medicare 88305-26 for part time pathologist read and –TC for Technical component.