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Using the -TC modifier

  1. Question Using the -TC modifier
    Medical Coding Books
    I work in a pain management office. I know when our provider does a facet injection, fluoroscopy is bundled. My question is, can I bill 77003 with a -TC modifier for use of the equipment?

  2. #2
    do you own the equipment?
    Stephanie Phillips, CPC-H

  3. Default
    Yes, the doctor does own the equipment.

  4. #4
    That's an interesting question. I never would have thought about that. I also work in a pain management office and would be curious to see the answer to this as well.
    Cherish Longo, CPC

  5. #5
    Nashville AAPC Chapter
    If the flouro is bundled into the primary code, how can we ethically bill for the flouro and stick a TC modifier on it?
    Isn't that considered fracturing out charges?

    I would never do it, bundled is bundled for a reason, just saying.

  6. #6
    I agree with Michelle, and since it's already bundled into the procedure the insurance carrier would just deny it as inclusive.
    Stephanie Phillips, CPC-H

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