• 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 Radiology Coding

Create Wiki
MCornell87

MCornell87

New
Messages
6
Location
Bedford, PA
Best answers
0
When coding for a ERCP for common bile duct stones with fluuroscopy time of 147.1 seconds on Medicare patient in a hospital setting...should you append Modifier -TC to cpt code? I do have included also HCPCS code G9500 with no modifier.

I have 43260-TC but am confused when to add modifiers -26 or -TC when hospital based?

Thank you!
 
Lets say doctor charges 100 for services. You want to pay him full charges as he does every thing of certain proc.
However if same doctor does only interpretation you won't pay him full charges because he did only professional comp. So you will pay him 60 for his portion by attaching 26 which will reduce the price for him.

Most important factor is if doctor is the employee of hospital or not. And did he do complete services of that proc or not.
Hope it will help .
 
26/TC concept doesn't apply to CPT 43260. PC/TC indicator is 0 which means:
Physician Service Codes -- Identifies codes that describe physician services. Examples include visits, consultations, and surgical procedures. The concept of PC/TC does not apply since physician services cannot be split into professional and technical components. Modifiers 26 and TC cannot be used with these codes.
Click to expand...

 
You must log in or register to reply here.
Top