Wiki Using the -TC modifier

[kdeman]

I work in a pain management office. I know when our provider does a facet injection, fluoroscopy is bundled. My question is, can I bill 77003 with a -TC modifier for use of the equipment?

 

[sphillips79]

do you own the equipment?

 

[kdeman]

Yes, the doctor does own the equipment.

 

[Cherish79]

That's an interesting question. I never would have thought about that. I also work in a pain management office and would be curious to see the answer to this as well.

 

[OCD_coder]

If the flouro is bundled into the primary code, how can we ethically bill for the flouro and stick a TC modifier on it?
Isn't that considered fracturing out charges?

I would never do it, bundled is bundled for a reason, just saying.

 

[sphillips79]

I agree with Michelle, and since it's already bundled into the procedure the insurance carrier would just deny it as inclusive.