We are reciving denials for using 78452 with modifier 26. I've been looking for an answer for 2 days now and haven't seen it referenced here yet. We are being told you can't split the code with a 26. Is there a more appropriate code just for reads? So far 2 ins companies are denying, but it is on cms fee schedule with a modifier 26. I'm Very confused.
The tests are preformed in the hospital and the reads are done in his office.
The tests are preformed in the hospital and the reads are done in his office.