AAPC - Back to school
Results 1 to 5 of 5

Thread: Modifiers -TC and -26...

  1. #1
    Join Date
    Apr 2007
    St. Paul, MN.

    Question Modifiers -TC and -26...

    AAPC: Back to School
    Hi Everyone!

    I have a provider trying to bill a 95810-26 and 95810-TC for one date of service, and then a 95805-26 and 95805-TC on the next day, based on the following rationale (although they did BOTH components):

    "Per coding review, the -TC needs to be billed for it is done in an off-site place and the physician isn't present. He interprets the testing in the clinic later, but the date of the testing is the DOS that is used for the interpretation. According to guidelines, this is the correct way to bill for these services."

    I have never heard this before! Is this correct??

    Thanks in advance!

    Jodie, CPC

  2. #2
    Join Date
    Apr 2007
    St. George Utah Chapter

    Question Modifiers -TC and -26

    Good afternoon,

    As anyone billed the modifiers -26 and -TC on the same line, when billing Medicare? It seems like a lot of extra fluff on your claim when you bill out the xray/ekg twice with the modifiers. Any suggestions?



  3. #3
    Join Date
    Apr 2007


    You would want to bill global no modifers. You only us the TC for example if your doc provided the equipment and did the scan and the 26 modifer if your doc only provided the interpretation/report.

    Unless you doc owns the equiqment under a different practice name and tax ID and the intpretation is done under another tax ID you would bill global no modifiers.

  4. #4
    Join Date
    Apr 2007
    Columbia, MO


    In some regions if your practice is in a defined rural location, Medicare requires double line listing of radiology codes one line with a 26 and one line with a TC, as long as you own the equipment, and provide the interpretation. You should know from your Medicare FI if this applies to you.

  5. #5
    Join Date
    Apr 2007
    St. George Utah Chapter


    Thank you, we were waiting for an answer from Medicare (still waiting), you answered our question. Yes we are a rural location.

Similar Threads

  1. Modifiers
    By ryleequigley@yahoo.com in forum General Discussion
    Replies: 2
    Last Post: 03-17-2015, 09:51 AM
  2. Two Modifiers, Which goes first
    By Candice_Fenildo in forum Modifiers
    Replies: 3
    Last Post: 12-27-2013, 03:11 PM
  3. Modifiers -51 and -25
    By hthompson in forum Modifiers
    Replies: 5
    Last Post: 11-02-2011, 12:11 PM
  4. Q modifiers
    By PLAIDMAN in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 01-27-2010, 05:01 AM
  5. IR modifiers
    By carriebeth in forum Interventional Radiology
    Replies: 1
    Last Post: 06-11-2009, 11:44 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.