I am trying to obtain information of how to bill for urodynamics that were performed by an NP, but interpreted by a physician on a separate date. Both providers are in the same practice, and own the equipment. Is it appropriate to bill for example:
51728,TC under the NP on the date the test was performed (04/02/16), and
51728,26 under the physician on the DOS he interpreted the test (04/04/2016).
This is not "incident to" as the physician is not in the suite when the test is performed. The NP has his own NPI to bill Medicare. I have been told in the past that 51728 should be billed w/ no modifiers since the providers are in the same practice and the service cannot be unbundled.
Any guidance is much appreciated.
Thank you!
51728,TC under the NP on the date the test was performed (04/02/16), and
51728,26 under the physician on the DOS he interpreted the test (04/04/2016).
This is not "incident to" as the physician is not in the suite when the test is performed. The NP has his own NPI to bill Medicare. I have been told in the past that 51728 should be billed w/ no modifiers since the providers are in the same practice and the service cannot be unbundled.
Any guidance is much appreciated.
Thank you!