Question: For example, a Medicare patient went to a physician's office and had a skin lesion removed. Our pathology lab received the skin specimen, processed it, and reported back to the physician. We billed 88305, but received a denial indicating "not a covered service -- Must bill to part A contractor." Our Medicare representative told us that the patient received another service on the same day as a hospital outpatient (place of service 22). That made our global 88305 claim deny, as though we were charging the technical component (TC) for a hospital outpatient. Is there a modifier we can use, such as 59, to indicate that our service was for a non-hospital patient? Answer: You are correct that you're claiming the technical component (TC) when you bill a global 88305 (Level IV - Surgical pathology, gross and microscopic examination). And under Medicare rules since the expiration of the TC Grandfather exception, pathologists can no longer bill Medicare for TC services for hospital patients. Heads up: