Please look the the Ultrasonic Guidance Procedures (76930 through 76965) or Radiologic Guidance (77001-77032) for further information. The Guidelines you are quoting refer to a physician both performing a surgical procedure and the S & I of the imaging. For example, if the radiologist does the sterotactic localization guidance for breast biopsy or needle placement, and also does the biopsy, he/she would be able to code both the biopsy (procedure) and the S & I (77031).
Originally Posted by medipro
If your provider is doing an ultrasound of the thyroid, and you are billing with no modifiers, the allowance includes both the technical and professional portions of the procedure. Your provider is already being paid for the work of interpreting and doing the report, as well as for the cost of using the equipment, etc. Our local allowance is as follows: Global = $104.28; TC (technical only) = $76.79; 26 (professional) = $27.49.
I hope this helps.
Lucinda (Cindy) McGarry, CPC-P
Avera Health Plans
Education Office Sioux Falls SD Local Chapter
Past President Sioux Falls SD Local Chapter