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Wiki TC Modifier Facility Claims

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San Juan, PHI
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Can someone please explain the proper billing of TC modifier in facility claims
 
Can someone please explain the proper billing of TC modifier in facility claims

Not all services have a professional and technical split. For the ones that do...

The facility bills the technical component (TC) for the use of the facility's equipment and resources. (Ex - an MRI machine and the techs that take the scan are the facility's resources)

The physician would bill the professional component (26) for the physician's time & expertise. (Ex - reading the MRI results)

If the physician owns the equipment, they bill the global service with no modifer. (Ex - xrays taken in an orthopedic physician's office and interpreted by the physician that owns the equipment)
 
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