Wiki modifier 26

[NOTAQUITTER]

Should modifier 26 be used with the CPT codes that already have the description "with report(ing)" included in them. F.X ;
20606 Arthrocentesis, aspiration and ..........................., with permanent recording and reporting
Thanks

 

[smoore123]

Modifier 26 is not an appropriate modifier for 20606.

20606
Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting

20606 for intermediate joint or bursa, with ultrasound guidance, including permanent record and report.

Ultrasonic guidance (76942) should not be reported in conjunction with 20600-20606.

 

[CodingKing]

I wouldn't post the full layman's, its copyrighted.

If you want to see if modifier 26 can be applied to a code you would need to need to check the Medicare physician fee schedule and look at the PC/TC indicator.

When the surgical procedure says "with ultrasound guidance, with permanent recording and reporting" its saying the required imaging is included is the procedure. If imaging was separately reportable the 26 would go on the imaging code.