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Technical vs. Professional

  1. Default Technical vs. Professional
    Medical Coding Books
    How would you bill both intraoperative monitoring technical fee and professional read fee for the following situation.....

    95920- Intraoperative Neurophysiology Monitoring- Billable Hours 1.00
    95938- Upper and Lower Extremities SSEP
    95861- Upper EMG, Units 2
    95939- Upper and Lower Extremities TCeMEP
    95937- Neuromuscular Junction Test (TO4)
    95955- EEG Non-intracranial Surgery

    If you need more information in order to answer my question, please let me know.

    Thanks!

  2. #2
    Location
    Baton Rouge
    Posts
    1,241
    Default
    Quote Originally Posted by Tracey Thompson View Post
    How would you bill both intraoperative monitoring technical fee and professional read fee for the following situation.....

    95920- Intraoperative Neurophysiology Monitoring- Billable Hours 1.00
    95938- Upper and Lower Extremities SSEP
    95861- Upper EMG, Units 2
    95939- Upper and Lower Extremities TCeMEP
    95937- Neuromuscular Junction Test (TO4)
    95955- EEG Non-intracranial Surgery

    If you need more information in order to answer my question, please let me know.

    Thanks!
    Unless I'm not understanding what you're asking, the simple answer is that you bill the codes without any modifiers. If the physician and the equipment are both part of the clinic you are billing for, this should be the appropriate way to bill. If you have any more info that might influence the decision, please post.

    Hope this helps!
    Meagan Strauss, CPC, CEMC
    Coding Coordinator
    The NeuroMedical Center
    Baton Rouge, LA

  3. Default Thanks!
    OK, good.

    The question was sent to me worded exactly as I did in the originaly post. I thought the same thing. More than anything I worried whether I understood the question because the answer seemed too simple.

    Thanks!!

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