Results 1 to 3 of 3

Modifier 26 on 77001 and 76937

  1. #1
    Question Modifier 26 on 77001 and 76937
    New Call-to-action
    Our surgeon is performing services at a hospital as an out patient service. The ins denied both 77001 and 76937 stating that the surgeon could only bill the professional component, not the technical component. Can anyone offer any insight into this? Should the surgeon only bill the professional component when these services are done at the hospital?

  2. #2
    Technical component is a facility expense thus the UB-04 from the Hospital will covers the TC component. 26 component should be billed by the physician. If you were to bill for the global charge that would be double dipping.

    For example on 77001, the facility employs the technician and own the equipment. Image below is the practice expense break down (click on thumbnail for full size):

    Last edited by CodingKing; 10-16-2018 at 07:22 PM.
    CRC (2018), CPC-P-A (2016), COC-A (2016), CPC-A (2015), PAHM (2010)
    Contract/Fee Specialist - Remote

    20 years health insurance experience: Audit, Claims, Customer Service, Payment Policy, Provider Relations, and Reimbursement

  3. #3
    Thank you Coding King for your reply.


Similar Threads

  1. 77001,26
    By heart123 in forum Cardiology
    Replies: 1
    Last Post: 05-07-2018, 03:52 PM
  2. 36561, 76937, & 77001
    By nlbarnes in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 08-24-2016, 12:56 PM
  3. What modifier can I use for 77001
    By JMontelongo in forum Modifiers
    Replies: 2
    Last Post: 09-06-2013, 02:56 PM
  4. 76937 and 77001 being bundled?
    By chembree in forum Interventional Radiology
    Replies: 0
    Last Post: 04-11-2011, 12:41 PM
  5. 36561 with 77001
    By Trendale in forum General Surgery
    Replies: 3
    Last Post: 07-10-2008, 09:42 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.