professional component

  1. R

    Wiki EKG interpretation

    Would you say that an EKG tracing with the computerized generated results signed off/initialed and dated by the MD qualifies for billing/coding for the professional component with cpt 93010. As per the 1995 guidelines an intial on the report qualifies for a review. DG: The review of lab...
  2. C

    Wiki Central Venous Access Device

    Here is my situation: Doctor with hospital performs a Medi-I-Port Insertion CPT code 36561. Radiologist contracted by the hospital provides fluoroscopic guidance (77001) for the insertion. I am trying to bill for the professional component of the fluoro guidance but since the radiologist did...
  3. T

    Wiki place of service when billing professional componenet surgical pathology

    Medicare released an article titled correct date of service for specific services. They address surgical pathology and date of service when not billing globally and only billing professional component. It states if the provider did not perform a global service and instead performed only one...
  4. C

    Wiki Separate professional/technical charges for lab codes 80047 an 80048

    Providers are billing separate charges for technical (hospital) component and professional (lab) component of codes 80047 and 80048. Per NCCI, these codes do not have a separate technical/professional component therefore the hospital is billing the total component (no modifier applied) and...
  5. M

    Wiki billing 20610 and 77002 for Professional claim vs Technical

    Hoping someone can help! :) I work for a billing company for a group of radiologists who perform 20610 along with other injection/biopsy procedures under flouro guidance in a facility that is separately owned and operated. It has come to our attention that the facility has been billing for this...
  6. D

    Wiki PPM interrogation vs programming?

    We bill to FCSO medicare contractor for global services for pacemaker interrogation and programming. We own all the equipment we use, and we perform interrogation and programming services in our office (POS 11). Our corporate office is instructing us that: A: We are not allowed to bill globally...
  7. R

    Wiki TC and 26 mods for 92083

    We have a clinic with 2 offices in 2 different states (both right along the border so still fairly close to each other). One of them has a Humphrey's and the other one doesn't yet. One of my doctors frequently sends paitients to the office with the visual field machine for just the test and then...
  8. R

    Wiki Modifiers TC and 26

    Do the TC and 26 modifiers need to be used when the test is split up between 2 different office locations on different days? The 2 locations are in different states but in the same company. Thanks!
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