• 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 Modifiers TC and 26

Create Wiki
dballard2004

dballard2004

True Blue
Messages
1,321
Location
Overland Park, KS
Best answers
0
I understand the difference between these modifiers, but I have a question regarding the correct use.

We only perform the x-ray at my clinics. We send the x-rays out to be read by an outside radiologist. We have a contract with the radiologist for the reading of the films and we pay him/her for this service. My question is do we still appended modifier TC to our x-rays since we pay the radiologist for the read? I don't know if the radiologist bills or not. Thanks. :confused:
 
Modifier TC and 26

If you have a contract and are paying the radiologist to read the x-rays, then you should be billing globally and they should not be billing. If he is billing then you shouldn't be paying him for a service that he is already being paid for by the insurer.
 
You must log in or register to reply here.
Top