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-tc modifier in ama - component modifier

  1. #1
    Default -tc modifier in ama - component modifier
    Medical Coding Books
    wondering if anyone knows where i can find the definition of the -TC modifier in the AMA CPC book???

    I'm getting insurance denials(aetna) saying that they dont "recognize" that technical component modifier.

    any ama link or page # reference is appreciated!!!! (sorry, they wont accept linked defintion from just any site, they specifically said it needs to be from AMA or a printout of the page from the AMA book!!!)

  2. #2
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    It's in the HCPCS manual, Appendix 2.
    Lisa Bledsoe, CPC, CPMA

  3. Default
    What's the CPT/HCPCS code modifier TC is being appended to?

    Kris

  4. #4
    Default
    Modifier TC is appended with a CPT 77003 which is the fluoroscopy.

  5. #5
    Location
    Columbia, MO
    Posts
    12,531
    Default
    Can you give the scenario when are you using it and where and are you billing physician or facility?

    Debra A. Mitchell, MSPH, CPC-H

  6. Default Additional Question Regarding -TC Modifier
    I have an additional question regarding this same topic.

    I work in a physician's office and we have a fluoroscopy machine here. I just got an EOB back and it bundled the fluoro with the procedure because I didn't attach the correct modifier. Would I attach both -26 and TC?

    Thank you for your help in figuring this out!

  7. #7
    Default
    Quote Originally Posted by hbv5515 View Post
    I have an additional question regarding this same topic.

    I work in a physician's office and we have a fluoroscopy machine here. I just got an EOB back and it bundled the fluoro with the procedure because I didn't attach the correct modifier. Would I attach both -26 and TC?

    Thank you for your help in figuring this out!
    If your physician owns the machine and is also interpreting the results, then you would bill your flouro code with NO modifier.
    Walker Bachman, CPC, CPPM

  8. Default
    That's what I thought too, but Medicare bundled it with the injection and told me that I had to append a Modifier.

    He does own the machine - so I just don't know!

  9. #9
    Default
    Quote Originally Posted by hbv5515 View Post
    That's what I thought too, but Medicare bundled it with the injection and told me that I had to append a Modifier.

    He does own the machine - so I just don't know!
    What was the CPT code you billed for the injection?
    Walker Bachman, CPC, CPPM

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