• 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 the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki modifier 26

Create Wiki
N

NOTAQUITTER

Networker
Messages
41
Location
Los Angeles, California
Best answers
0
Should modifier 26 be used with the CPT codes that already have the description "with report(ing)" included in them. F.X ;
20606 Arthrocentesis, aspiration and ..........................., with permanent recording and reporting
Thanks
 
Modifier 26 is not an appropriate modifier for 20606.

20606
Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting

20606 for intermediate joint or bursa, with ultrasound guidance, including permanent record and report.

Ultrasonic guidance (76942) should not be reported in conjunction with 20600-20606.
 
Last edited:
I wouldn't post the full layman's, its copyrighted.

If you want to see if modifier 26 can be applied to a code you would need to need to check the Medicare physician fee schedule and look at the PC/TC indicator.

When the surgical procedure says "with ultrasound guidance, with permanent recording and reporting" its saying the required imaging is included is the procedure. If imaging was separately reportable the 26 would go on the imaging code.
 
You must log in or register to reply here.
Top