Wiki Radiation coding question

[halliot]

The Medicaid manual has listed radiation codes of 77413 and 77414 with a
listing of just radiation and a value and as a "T" technical component with a value the same as the full radiation.
Would you say because the fee schedule has listed it as a technical component they must use the TC modifier when billing the services?
In my case I only pay the TC part of a procedure if there is a professional component (26) it is sent to another carrier.

 

[npricercm]

The Medicaid manual has listed radiation codes of 77413 and 77414 with a
listing of just radiation and a value and as a "T" technical component with a value the same as the full radiation.
Would you say because the fee schedule has listed it as a technical component they must use the TC modifier when billing the services?
In my case I only pay the TC part of a procedure if there is a professional component (26) it is sent to another carrier.

I have seen it both ways. There is not a professional component for the treatment delivery, so a TC is not a requirement. Then as always, medicaid is always a wild card and they may or may not require the TC modifier.