AAPC - Back to school
Results 1 to 3 of 3

Thread: Billing for DVT Ultrasound Machine

  1. #1
    Join Date
    Apr 2007

    Default Billing for DVT Ultrasound Machine

    AAPC: Back to School
    The practice owns the DVT machine (Ultrasound). Patients are in-patients. My question is, how do you bill for encounter?

    I am thinking bill with modifier TC for the technical component and 26 for the professional component.

    Your input will be appreciated. Thank you.

  2. #2
    Join Date
    Apr 2007
    Sioux Falls South Dakota


    For Medicare/Medicaid, you will not be able to bill globally or split the charge and bill both a TC and a 26. For them, if the patient is IP, then the hospital needs to bill the equipment - no exceptions that I can find. We had a very similar situation where one of our offices was taking the equipment over to the hospital and trying to bill that way. We were instructed that we can only bill the interp on IP - and to "work out" something with the hospital to be reimbursed for the technical component.

    I would investigate this with the hospital, as far as them billing for the technical portion and renting the equipment from your office.

    I hope this helps, and if someone else has a MAC that has told them differently, I'd like to hear about it too!
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

  3. #3
    Join Date
    Apr 2007


    It actually makes sense, mod-26 for the professional, and maybe the hospital can make an arrangement renting the equipment from the office and they can bill for the tc.

    If I find something, I will post it here.

    Thank your for your input.

Similar Threads

  1. Billing 76942 in 2015 Providers Own Machine!
    By Melissa1987 in forum Anesthesia
    Replies: 4
    Last Post: 01-13-2015, 11:52 AM
  2. billing CPM machine use
    By tkrame01 in forum Orthopaedics
    Replies: 0
    Last Post: 03-26-2012, 02:27 PM
  3. Coding Acute DVT vs Chronic DVT
    By akandrew in forum Cardiovascular Thoracic
    Replies: 2
    Last Post: 05-27-2011, 11:33 AM
  4. Global Billing US Machine
    By dhoward in forum Interventional Radiology
    Replies: 1
    Last Post: 03-03-2010, 01:11 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.