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Billing both -TC and -26

  1. Default Billing both -TC and -26
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    We are now going to start billing the -TC portion of the code example 88305-TC along with the read 88305-26. Are they billed seperate line 88305-TC then 88305-26 since it is the same provider performing both services? Or would the code just be billed 88305 which would include both? Thanks

  2. #2
    If you are performing the "global" part of the CPT code, you would not have to bill it out with TC or 26. By submitting the claim without the modifier, you are telling the claims processing system that you are billing the "global" and performing both components.
    Ali Coleman ~ CFE, CPC, CEMC
    Defense Health Agency
    TRICARE/Department of Defense
    Health Care Fraud Specialist

  3. Default
    Does this included Medicare as well?
    Thanks for the help!

  4. #4
    Our Medicare carrier wants split billing on different days. -TC on the date of the slide prep (usually the biopsy date) and -26 on the date the slide was read.

    Kay, CPC

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