I work for an insurance company and have a charge from same provider of service- billing a TC and 26 modifier for CPT codes- 95861;95920;95926;95928;95929.
If I am correctly reading the CPT guidleine, these codes would include physician interpretation. The provider of servic is billing under 2 Tax ID#s- same place of service- and each billed amount is the same for TC and 26. When questioned if it is duplicate- were told ' No, billing for the technical and professional components. Is this correct ?
If I am correctly reading the CPT guidleine, these codes would include physician interpretation. The provider of servic is billing under 2 Tax ID#s- same place of service- and each billed amount is the same for TC and 26. When questioned if it is duplicate- were told ' No, billing for the technical and professional components. Is this correct ?