audralynn1979@aol.com
Networker
So I haven't done billing for awhile and need some help, billing uhc for 72170-26 and 72170 TC- they are denying the 26 as in global and payment included in another service, but they are paying the TC--any ideas?
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Wiki Xray billing--HELP
- Thread starter audralynn1979@aol.com
- Start date
solocoder
Expert
Does your clinic own their own xray equipment or do you send patients to a different dept for xrays?
The xray dept. we use is actually part of the hospital system and so have to bill the TC with hospital codes.
EX: 73630 26,RT
700000258 TC,RT
Just a thought.
The xray dept. we use is actually part of the hospital system and so have to bill the TC with hospital codes.
EX: 73630 26,RT
700000258 TC,RT
Just a thought.
nrichard
Guest
x-rays
You only bill with TC or modifier 26, if you are only billing for one component of the x-ray. If your facility owns the equipment and your provider is providing the interpretation of the x-ray, you will bill with no modifier. (This means you are billing globally, i.e. both components of the x-ray, also known as the shooting of the x-ray and the reading of the x-ray). If your provider is only performing the x-ray, and sending the films to a radiologist, you would bill the x-ray with TC modifier. Modifier 26, is only when your provider is only transcribing the radiology report. You never bill out these services separately.
You only bill with TC or modifier 26, if you are only billing for one component of the x-ray. If your facility owns the equipment and your provider is providing the interpretation of the x-ray, you will bill with no modifier. (This means you are billing globally, i.e. both components of the x-ray, also known as the shooting of the x-ray and the reading of the x-ray). If your provider is only performing the x-ray, and sending the films to a radiologist, you would bill the x-ray with TC modifier. Modifier 26, is only when your provider is only transcribing the radiology report. You never bill out these services separately.
solocoder
Expert
Might depend on how your EHR is set up. We have to bill both components on separate lines. Our EHR is set up to only allow global xray billing for medicaid, who requires it. We bill them that way all day every day and always get paid.