2believe
Contributor
For the first 20 days of a global surgery. (eg Hip replacement) patient comes into office and an x-ray is done. Patient resides in SNF. The physician reads and discusses results with patient. The x-ray is billed to Medicare then denied stating to bill to SNF. Then SNF denies claim stating to add a 26 modifier. They did not perform or read the x-ray, nor do they have a copy of it! I am confused! Has there been a change when billing an x-ray ? Do we add a 26 when they did nothing to deserve payment?