MEDICAL BILLING AND CODING

Sunday, June 20, 2010

TECHNICAL & PROFESSIONAL COMPONENTS (RADIOLOGY

Only certain services include a technical and professional component. Your Medicare Fee Schedule includes separate allowances for these services.

-TC Technical component. Under certain circumstances, a charge may be made for the
technical components alone. Under those circumstances the technical component charge isidentified by adding modifier TC to the usual procedure number.

Modifier TC identifies those situations where the physician performs the test but does notinterpret the results.

Modifier –TC should not be used if there is a specific code that describes a procedure that is 100%

-26 Professional Component: Certain procedures are a combination of a physician componentand a technical component. When the physician component is reported separately, the service may be identified by adding the modifier -26 to the usual procedure code.
Use modifier 26 when a physician interprets but does not perform the test. Modifier -26 should
not be used if there is a specific code that already describes only the physician component of agiven service.

-GG Performance and payment of a screening mammogram and diagnostic mammogram on
the same patient, same day.

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