Wiki Need help with proper coding for 93010

[Vannoyj]

Hello, The physician billed out 93010 and Medicare denies the claim as the hospital has already billed out the same code 93010 for the patient. What am I missing here is there a modifier required? We are in Texas.

 

[jrclark1987@yahoo.com]

93010

Are you using 26? for the professional component. The hospital usually bills with a TC modifier. Hope that helps.

 

[mhstrauss]

Are you using 26? for the professional component. The hospital usually bills with a TC modifier. Hope that helps.

93010 does not have a TC/26 breakdown.

If your physician did the interp and report, the hospital should not have billed 93010 also.
Is there anyone at the hospital you can contact to discuss?

 

[SDAlward]

We have the same issue going on with our office. I agree with above reply, contact the hospital and speak with their billing manager.