Wiki Private practice ultrasound billing & facility fees

SueLis

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Warren, MI
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We are a private ob/gyn practice and own our ultrasound equipment. We perform, read & bill our ultrasounds. Another physician told one of our physicians they also bill a facility fee. This practice is also a private practice. Has anyone ever heard or billed this?
 
If you are doing the technical and professional so unless payer wants it split, it needs to be billed globally (No modifier)

If you entity did the processional you bill mod 26 and the equipment owner will bill TC

26 + TC component added together ends up paying the same amount as the global code as the RVU of both equal the same

For example (based on nationally unadjusted RVU)


76805 26 RVU = 1.44
76805 TC RVU = 2.62
--------------
76805 RVU = 4.06
 
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