tci General Surgery Coding Alert - 2002 Issue 9

Reader Question: Professional Component

Question: What are the guidelines for reporting the professional component for services? South Dakota SubscriberAnswer: When a physician conducts diagnostic tests or other services using equipment supplied by a hospital or other facility, he or she must append modifier -26 (Professional component) to the appropriate CPT code to indicate that only the physician component (i.e., interpretation and report) of the service was provided. Appendix A of CPT explains that some procedures are a combination of a physician component and a technical component. "When the physician component is reported separately," CPT further specifies, "the service may be identified...

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