Wiki Modifer on 36558

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Green Cove Springs, FL
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We do coding and billing for a radiologist out of a California hospital, most of his services (x-rays, CT scans etc) are billed with a 26 modifier, we have had no problems with the 36558 without a modifier (insert tun cath) until recently, they (Medicare) are now all of a sudden getting denied for missing modifier, I am confused as to what modifier is needed here. Any insight?
 
what exactly is the denial? for what type of modifier are they looking for? post op period 78 or 79, 26 or TC ?
 
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