Wiki 95941-26

clg4513

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I am having issues with payers denying 95941 unless modifier 26 is attached. My understanding of 95941 is that this is a professional code only.
I am trying to locate any information to support an appeal. Any ideas?
 
In my experience the technical component (Modifier TC) is billed by the facility and the Professional Component (Modifier 26) is billed by the provider. I hope this helps.

95941 is an add on code and is for continuous intraoperative monitoring from outside the operative suite.. It would help to know what the context is for how you are using it.
 
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Per the Medicare RVU file, there is no PC/TC breakdown for 95941. My understanding of that is that you shouldn't have to use any modifiers. :confused:
 
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