pittiemom2722
Guru
I posted this originally on the 'modifier' thread but didn't get a response ; maybe someone here can advise?? Thank you!!!
Hoping someone can clarify for me as I'm confused. I've been billing in a private ortho practice for several years and we recently merged with a local hospital so we're now technically an outpatient facility. There are several insurance carriers that require split billing. What I'm told from the hospital billing dept is that a 25 is required on the TC component for the E/M portion of the claim if any x-rays are done here in the office which I've never had to do before. I'm not familiar with outpatient billing at all so I've been trying to do my own research on this and I'm confused with status indicators, etc., so sometimes I think yes and sometimes I think no. Most of the films we do in the office are listed on the CMS site as indicator Q1.
With that being said, is 25 required on the TC component of my E/M??? It's very confusing with the entire explanation of how all of these things work so I'm guess I'm looking for a straight 'yes' or 'no' and then maybe I'll 'get it'.
Thank you for any help in clarification!!!
Hoping someone can clarify for me as I'm confused. I've been billing in a private ortho practice for several years and we recently merged with a local hospital so we're now technically an outpatient facility. There are several insurance carriers that require split billing. What I'm told from the hospital billing dept is that a 25 is required on the TC component for the E/M portion of the claim if any x-rays are done here in the office which I've never had to do before. I'm not familiar with outpatient billing at all so I've been trying to do my own research on this and I'm confused with status indicators, etc., so sometimes I think yes and sometimes I think no. Most of the films we do in the office are listed on the CMS site as indicator Q1.
With that being said, is 25 required on the TC component of my E/M??? It's very confusing with the entire explanation of how all of these things work so I'm guess I'm looking for a straight 'yes' or 'no' and then maybe I'll 'get it'.
Thank you for any help in clarification!!!