AAPC - Back to school
Results 1 to 4 of 4

Thread: Modifier -26

  1. #1
    Join Date
    Apr 2007
    Orange, California

    Talking Modifier -26

    AAPC: Back to School

    I am currently studying Medical Coding and I have a question regarding -26.

    I asked if all the radiology reports should include the modifier -26. (Please see bottom response and tell me if you agree.

    We can’t use modifier 26 because it doesn’t state “interpretation and report” only in the case scenario. We have to assume that the x-ray, and interpretation and report were done in the facility.


  2. #2
    Join Date
    Apr 2007
    Baton Rouge Local Chapter


    All reports will not include a modifier 26. It depends. Modifier 26 is used for interpretation and report of the x-ray films. Some offices own their own x-ray machines and they read the results. In this case the whole component of the x-ray is billed with no modifier. If an office owns the machine and performs the x-ray but doesn't not read the results - they send them to a radiologist - the office can bill the TC modifier and the radiologist would bill the 26 modifier. You should not assume but you should find out prior to coding for any facility that deal with x-rays what their arrangements are for reading the x-rays to bill correctly. Hope this helps and good luck!

    Shannette Avara, CPC
    Coding Manager - UCA

  3. #3
    Join Date
    Apr 2007
    Orange, California

    Default Thank you!!

    It does help alot! I appreciate your help!

  4. #4
    Join Date
    Apr 2007


    thanks ....

Similar Threads

  1. Replies: 2
    Last Post: 09-18-2015, 01:17 PM
  2. Modifier 59 vs Modifier 91 for Laboratory
    By leahrey in forum Modifiers
    Replies: 1
    Last Post: 06-23-2015, 12:01 PM
  3. MODIFIER PT VS MODIFIER 33 Screening Colonoscopy
    By Ann Johnson in forum Modifiers
    Replies: 2
    Last Post: 07-19-2012, 07:08 AM
  4. Modifier 58 versus Modifier 78
    By Ramona03 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-04-2012, 12:10 PM
  5. Modifier 51 Versus Modifier 59
    By Sborkowski in forum Modifiers
    Replies: 3
    Last Post: 05-26-2009, 03:59 PM

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.